Nutritrauma: A Key Concept for Minimising the Harmful Effects of the Administration of Medical Nutrition Therapy
Servei de Medicina Intensiva, Hospital de Mataró, 08304 Mataró, Spain
Grup de Recerca en Sèpsia, Inflamació i Seguretat del Pacient Crític, 43005 Tarragona, Spain
Servei de Farmacia, Hospital de Mataró, 08304 Mataró, Spain
Servei de Medicina Intensiva, Hospital Universitari Germans Trias i Pujol, 08916 Badalona, Spain
Servei de Medicina Intensiva, Hospital Universitari de Girona Dr. Josep Trueta, 17007 Girona, Spain
Servicio de Medicina Intensiva, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain
Servei de Medicina Intensiva, Hospital Universitari de Tarragona Joan XXIII, 43005 Tarragona, Spain
Unitat de Recerca, Hospital de Mataró, 08304 Mataró, Spain
Author to whom correspondence should be addressed.
Working Group on Nutrition and Metabolism of the Spanish Society of Critical Care, 28014 Madrid, Spain.
Nutrients 2019, 11(8), 1775; https://doi.org/10.3390/nu11081775
Received: 10 July 2019 / Revised: 29 July 2019 / Accepted: 30 July 2019 / Published: 1 August 2019
Critically ill patients often require life support measures such as mechanical ventilation or haemodialysis. Despite the essential role of nutrition in patients’ recovery, the inappropriate use of medical nutrition therapy can have deleterious effects, as is the case with the use of respiratory, circulatory, or renal support. To increase awareness and to monitor the effects of inappropriate medical nutrition therapy, we propose to introduce the concept of nutritrauma in clinical practice, defined as metabolic adverse events related to the inappropriate administration of medical nutrition therapy or inadequate nutritional monitoring.