Educational, Recording and Organizational Interventions Regarding Critical Care Nutritional Support

  • Andrés Luciano Nicolas Martinuzzi
  • Sergio Santana Porben
  • Eduardo Ferraresi
  • Víctor Hugo Borrajo
  • Victor R. Preedy
Reference work entry


Medical practice is not exempted from complications. This is particularly relevant in the critical care setting. Decisions bearing on patient’s lives have to be taken amidst tensions dictated by windows of opportunity, progression of the disease, and availability of technological equipment and staff. In spite of all of these factors, medical errors can arise. Critical care medicine has gone through an evolutionary threshold in the last few decades, thanks to the works of dedicated researchers such as Amato, Van de Bergher, and Rivers, among others. The international community has developed several initiatives to implement their findings and recommendations. It is however disturbing that nutritional support has not received equal attention as the advances in medical science. This is also reflected in the education of medical students in some countries where nutrition as a specialist subject is rather brief. All this should be considered with respect to evidence-based data which strengthens the notion that nutritional support generates superior medical care outcomes.

To ensure optimal care of the patient, a quality control system relating to nutritional support should be designed and put into effect. This involves strengthening the documentation around the nutritional support protocol, which must be harmoniously integrated into continuing education programs. Proper documentation also serves to evaluate the effectiveness of nutritional and metabolic interventions and has a potential impact on hospital management. In this regard, educative and organizative interventions must be conducted on three levels: (1) increasing the knowledge base of medical and paramedical personnel about current nutritional support practices in the intensive care unit, (2) better documentation and recording practices, and (3) continuous training and education.

Adopting these aforementioned procedures will result in a higher fulfillment of nutritional prescriptions, an increased coverage of patients prescribed with nutritional support, and a higher proportion of patients receiving the prescribed energy.


Intensive Care Unit Parenteral Nutrition Medical Error Nutritional Support Standard Operating Procedure 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

List of Abbreviations


Intensive care unit


International Organization for Standardization


Nutritional support


Parenteral nutrition


Food, Nutritional, and Metabolic Intervention Program


Subjective Global Assessment


Standard Operating Procedure


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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Andrés Luciano Nicolas Martinuzzi
    • 1
  • Sergio Santana Porben
    • 2
  • Eduardo Ferraresi
    • 3
  • Víctor Hugo Borrajo
    • 4
  • Victor R. Preedy
    • 5
  1. 1.Critical CareCentro Medico Integral del Comahue, Unidad de Cuidados CríticosNeuquénArgentina
  2. 2.Instituto de GastroenterologiaLa HabanaCuba
  3. 3.Unidad de Cuidados Críticos, HIGA, Hospital Interzonal General de Agudos Dr. Rodolfo RossiLa PlataArgentina
  4. 4.Terapia IntensivaCentro Medico Integral del Comahue, (CMIC)NeuquenArgentina
  5. 5.Department of Nutrition and Dietetics, Division of Diabetes and Nutritional SciencesFaculty of Life Sciences and Medicine, King’s College LondonLondonUK

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