array:24 [
  "pii" => "S2173572722001175"
  "issn" => "21735727"
  "doi" => "10.1016/j.medine.2022.06.003"
  "estado" => "S300"
  "fechaPublicacion" => "2022-08-01"
  "aid" => "1703"
  "copyright" => "Elsevier España, S.L.U. and SEMICYUC"
  "copyrightAnyo" => "2021"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "crp"
  "cita" => "Med Intensiva. 2022;46:475-7"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0210569121001923"
      "issn" => "02105691"
      "doi" => "10.1016/j.medin.2021.08.010"
      "estado" => "S300"
      "fechaPublicacion" => "2022-08-01"
      "aid" => "1703"
      "copyright" => "Elsevier España, S.L.U. y SEMICYUC"
      "documento" => "simple-article"
      "crossmark" => 1
      "subdocumento" => "crp"
      "cita" => "Med Intensiva. 2022;46:475-7"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:1 [
        "total" => 0
      ]
      "es" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Carta cient&#237;fica</span>"
        "titulo" => "Encuesta sobre la transici&#243;n de nutrici&#243;n parenteral total a nutrici&#243;n enteral en pacientes cr&#237;ticos en los hospitales de Espa&#241;a"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "475"
            "paginaFinal" => "477"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Transition from total parenteral nutrition to enteral nutrition in critically ill patients in Spain&#58; a national survey"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:7 [
            "identificador" => "fig0005"
            "etiqueta" => "Figura 1"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr1.jpeg"
                "Alto" => 2035
                "Ancho" => 2500
                "Tamanyo" => 252508
              ]
            ]
            "descripcion" => array:1 [
              "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Principales respuestas de los participantes sobre el manejo de la TNPANE en el paciente cr&#237;tico&#46;</p> <p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">NE&#58; nutrici&#243;n enteral&#59; NP&#58; nutrici&#243;n parenteral&#59; TNPANE&#58; transici&#243;n de nutrici&#243;n parenteral total a nutrici&#243;n enteral&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "L&#46; P&#233;rez-Cord&#243;n, J&#46;C&#46; Y&#233;benes, I&#46; Mart&#237;nez de Lagr&#225;n, L&#46; Campins"
            "autores" => array:4 [
              0 => array:2 [
                "nombre" => "L&#46;"
                "apellidos" => "P&#233;rez-Cord&#243;n"
              ]
              1 => array:2 [
                "nombre" => "J&#46;C&#46;"
                "apellidos" => "Y&#233;benes"
              ]
              2 => array:2 [
                "nombre" => "I&#46;"
                "apellidos" => "Mart&#237;nez de Lagr&#225;n"
              ]
              3 => array:2 [
                "nombre" => "L&#46;"
                "apellidos" => "Campins"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S2173572722001175"
          "doi" => "10.1016/j.medine.2022.06.003"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572722001175?idApp=WMIE"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569121001923?idApp=WMIE"
      "url" => "/02105691/0000004600000008/v1_202207150657/S0210569121001923/v1_202207150657/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S2173572722001163"
    "issn" => "21735727"
    "doi" => "10.1016/j.medine.2022.06.002"
    "estado" => "S300"
    "fechaPublicacion" => "2022-08-01"
    "aid" => "1701"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and SEMICYUC"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "crp"
    "cita" => "Med Intensiva. 2022;46:477-80"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Scientific letter</span>"
      "titulo" => "Use of thoracic ultrasound in the assessment and follow-up of seriously ill children due to pediatric inflammatory multisystemic syndrome&#58; Observational prospective study"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "477"
          "paginaFinal" => "480"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Utilidad de la ecograf&#237;a tor&#225;cica en la valoraci&#243;n y seguimiento del ni&#241;o grave por s&#237;ndrome inflamatorio multisist&#233;mico pedi&#225;trico&#58; estudio prospectivo observacional"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "A&#46; Gonz&#225;lez-Brabin, M&#46; Cabrero-Hern&#225;ndez, A&#46; Garc&#237;a-Salido, I&#46; Leoz-Gordillo, M&#46;I&#46; Iglesias-Bouzas, M&#46; Nieto-Moro"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Gonz&#225;lez-Brabin"
            ]
            1 => array:2 [
              "nombre" => "M&#46;"
              "apellidos" => "Cabrero-Hern&#225;ndez"
            ]
            2 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Garc&#237;a-Salido"
            ]
            3 => array:2 [
              "nombre" => "I&#46;"
              "apellidos" => "Leoz-Gordillo"
            ]
            4 => array:2 [
              "nombre" => "M&#46;I&#46;"
              "apellidos" => "Iglesias-Bouzas"
            ]
            5 => array:2 [
              "nombre" => "M&#46;"
              "apellidos" => "Nieto-Moro"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S021056912100190X"
        "doi" => "10.1016/j.medin.2021.08.008"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S021056912100190X?idApp=WMIE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572722001163?idApp=WMIE"
    "url" => "/21735727/0000004600000008/v1_202207200525/S2173572722001163/v1_202207200525/en/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S2173572722001540"
    "issn" => "21735727"
    "doi" => "10.1016/j.medine.2021.09.001"
    "estado" => "S300"
    "fechaPublicacion" => "2022-08-01"
    "aid" => "1707"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and SEMICYUC"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "crp"
    "cita" => "Med Intensiva. 2022;46:472-4"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Scientific letter</span>"
      "titulo" => "Anti-ACTH antibodies in critically ill Covid-19 patients&#58; A potential immune evasion mechanism of SARS-CoV-2"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "472"
          "paginaFinal" => "474"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Anticuerpos anti-ACTH en pacientes cr&#237;ticos con Covid-19&#58; Un posible mecanismo de evasi&#243;n inmunitaria del SARS-CoV-2"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "D&#46; P&#233;rez-Torres, C&#46; D&#237;az-Rodr&#237;guez, A&#46; Armentia-Medina"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "D&#46;"
              "apellidos" => "P&#233;rez-Torres"
            ]
            1 => array:2 [
              "nombre" => "C&#46;"
              "apellidos" => "D&#237;az-Rodr&#237;guez"
            ]
            2 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Armentia-Medina"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572722001540?idApp=WMIE"
    "url" => "/21735727/0000004600000008/v1_202207200525/S2173572722001540/v1_202207200525/en/main.assets"
  ]
  "en" => array:20 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Scientific Letter</span>"
    "titulo" => "Transition from total parenteral nutrition to enteral nutrition in critically ill patients in Spain&#58; A national survey"
    "tieneTextoCompleto" => true
    "saludo" => "To the Editor&#58;"
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "475"
        "paginaFinal" => "477"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "L&#46; P&#233;rez-Cord&#243;n, J&#46;C&#46; Y&#233;benes, I&#46; Mart&#237;nez de Lagr&#225;n, L&#46; Campins"
        "autores" => array:4 [
          0 => array:4 [
            "nombre" => "L&#46;"
            "apellidos" => "P&#233;rez-Cord&#243;n"
            "email" => array:1 [
              0 => "lperez@csdm.cat"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "J&#46;C&#46;"
            "apellidos" => "Y&#233;benes"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "I&#46;"
            "apellidos" => "Mart&#237;nez de Lagr&#225;n"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "L&#46;"
            "apellidos" => "Campins"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Servicio de Farmacia&#44; Hospital de Matar&#243;&#44; Matar&#243;&#44; Barcelona&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Medicina Intensiva&#44; Hospital de Matar&#243;&#44; Matar&#243;&#44; Barcelona&#44; Spain"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Encuesta sobre la transici&#243;n de nutrici&#243;n parenteral total a nutrici&#243;n enteral en pacientes cr&#237;ticos en los hospitales de Espa&#241;a"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:8 [
        "identificador" => "fig0010"
        "etiqueta" => "Figure 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 1227
            "Ancho" => 3154
            "Tamanyo" => 139857
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0015"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Which should the diet of choice be to start TPN-to-EN in the critically ill patient&#63;</p> <p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">TPN-to-EN&#44; transition from total parenteral nutrition to enteral nutrition&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">The administration of parenteral nutrition to critically ill patients is indicated in cases of intestinal failure that prevents the administration of enteral nutrition &#40;EN&#41; or in situations that condition poor supply<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;2</span></a>&#46; Despite the fact that few studies have been conducted in critically ill patients&#44; it is assumed that bowel rest associated with the exclusive use of total parenteral nutrition &#40;TPN&#41; damages the structure and functions of the intestinal mucosa<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">3&#8211;5</span></a>&#46; In this context&#44; tolerance at the beginning of enteral support could be influenced by these anatomical and functional changes&#46; The clinical implications of these alterations have not been studied thoroughly and are barely mentioned in the clinical practice guidelines and the medical literature available&#46; At this point&#44; the incidence rate of complications during transition from total parenteral nutrition to enteral nutrition &#40;TPN-to-EN&#41; or whether it is possible to impact&#8212;through clinical practice&#8212;the tolerance of rebooting EN remains unknown&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">The objective of our study is to know the routine clinical practice in the management of TPN-to-EN in critically ill patients at the intensive care unit &#40;ICU&#41; setting&#46; Therefore&#44; an anonymized survey was submitted&#8212;one time only&#8212;to the Clinical Nutrition Working Group of the Spanish Society of Hospital Pharmacy &#40;SEFH&#41; and the SEFH list&#46; Also&#44; to the Metabolism and Nutrition Working Group &#40;GTMyN&#41; of the Spanish Society of Intensive and Critical Care Medicine and Coronary Units &#40;SEMICYUC&#41; and to those Spanish hospitals interested in participating&#46; Survey was conducted between January 20&#44; 2021 and February 20&#44; 2021 through an online form&#46; Different health professionals from the same unit participated&#46; Survey consisted of 20 questions grouped into 3 categories &#40;Appendix B&#59; Table 1 of the Supplementary data &#91;SD&#93;&#41;&#58; participant data&#44; definition&#44; and degree of protocolization&#44; and type of enteral formulation that should be used&#46; Descriptive statistical analyses of the sample were performed&#46; Variables are expressed as percentages&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">A total of 105 health professionals in Spain responded to the survey&#46; A total of 61&#46;90&#37; of respondents worked at the intensive medicine unit setting&#44; 34&#46;29&#37; at the hospital pharmacy&#44; and 3&#46;81&#37; at the diet or endocrinology unit&#46; The characteristics of participants are shown in Appendix B&#59; Table 2 of the SD&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">A total of 96&#46;19&#37; of respondents claimed that the goal of transition was to guarantee the tolerance of a certain percentage of caloric and protein requirements provided via EN &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; Although the range of responses on which the threshold to suspend parenteral nutrition was between 40&#37; and 100&#37; of the theoretical enteral requirements&#44; 74&#46;26&#37; of respondents considered the range to be somewhere between 60&#37; and 75&#37; &#40;Appendix B&#59; Fig&#46; 1 of the SD&#41;&#46; A total of 65&#46;71&#37; considered that a defined temporal margin should have been established to do the transition being 72<span class="elsevierStyleHsp" style=""></span>h the most suggested timeframe of all &#40;Fig&#46; 1&#44; and Appendix B&#59; Fig&#46; 2 of the SD&#41;&#46; A total of 56&#46;19&#37; responded that the criteria to start EN should be the same ones that are used for critically ill patients with functional bowel &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">A great variability was seen in the selection of the type of diet &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#46; Respondents considered that the diets to start TPN-to-EN in the critically ill patient should be fiberless polymeric diets &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>42&#41;&#44; fiber polymeric diets &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>29&#41;&#44; oligomeric or hydrolyzed diets &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>29&#41;&#44; and glutamine-based peptide compound diets &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>14&#41;&#46; In the routine clinical practice&#44; 94&#46;29&#37; of respondents start EN at progressive volumes compared to 5&#46;71&#37; who start full doses&#46; A total of 45&#46;71&#37; responded that there is scientific evidence to say that gradually increasing the volume and complexity of the diet could improve enteral tolerance &#40;Appendix B&#59; Fig&#46; 3 of the SD&#41;&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0030" class="elsevierStylePara elsevierViewall">During the process of transition&#44; 61&#46;90&#37; of respondents said that they subtract the calories administered via enteral nutrition from parenteral nutrition by estimating and adjusting both supplies unlike 35&#46;24&#37; of respondents who do so on a rough basis &#40;Appendix B&#59; Fig&#46; 4 of the SD&#41;&#46; A total of 71&#46;43&#37; responded that&#44; based on their own experience&#44; patients who do this transition should not have a higher rate of GI complications compared to those who start EN early on &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; Regarding GI complications<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a>&#44; they considered that the most common of all are increased gastric residual volume &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>69&#41;&#44; abdominal distension &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>60&#41;&#44; diarrhea &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>48&#41;&#44; food regurgitation &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>27&#41;&#44; vomiting &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>16&#41;&#44; and constipation &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>15&#41;&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Our results show a significant variability among the different hospitals that participated in the survey regarding TPN-to-EN&#46; Currently&#44; few recommendations exist in the clinical practice guidelines and scientific literature on what the best time to start this transition should be&#44; how to move forward with the procedure&#44; the effect enteral diet has on tolerance or management&#44; and the necessary duration of such procedure&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">Respondents to the survey thought that transition should achieve tolerance of 60&#37;&#8211;75&#37; of caloric and protein requirements via enteral nutrition in a 72-h timeframe&#46; Also&#44; that parenteral nutrition should be removed without need for consensus on the type of enteral diet that should be used&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">Process should be gradual throughout 48&#8211;72<span class="elsevierStyleHsp" style=""></span>h although with variable duration and based on the characteristics of the patient and the degree of tolerance towards EN&#46; We should mention that there was no urgent need to suspend parenteral nutrition immediately&#46; However&#44; the caloric and protein intakes of both nutritional supports should be closely monitored to avoid overnutrition<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a>&#46; Transition should be considered complete once the patient can tolerate &#62;60&#37;&#8211;75&#37; of the enteral diet prescribed for&#44; at least&#44; 48&#8211;72<span class="elsevierStyleHsp" style=""></span>h&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">The development and implementation of protocols based on scientific evidence on the management of nutritional medical treatment improve clinical practice and impact the prognosis of critically ill patients<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a>&#46; The lack of evidence and consensus on the management of this clinical situation together with the results of this survey back up the importance of reviewing the best strategy to optimize TPN-to-EN in the critically ill patient could be&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0055" class="elsevierStylePara elsevierViewall">None whatsoever&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflicts of interest</span><p id="par0060" class="elsevierStylePara elsevierViewall">None reported&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:4 [
        0 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Funding"
        ]
        1 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Conflicts of interest"
        ]
        2 => array:2 [
          "identificador" => "xack617592"
          "titulo" => "Acknowledgements"
        ]
        3 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2021-07-15"
    "fechaAceptado" => "2021-08-29"
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; P&#233;rez-Cord&#243;n L&#44; Y&#233;benes JC&#44; Mart&#237;nez de Lagr&#225;n I&#44; Campins L&#46; Encuesta sobre la transici&#243;n de nutrici&#243;n parenteral total a nutrici&#243;n enteral en pacientes cr&#237;ticos en los hospitales de Espa&#241;a&#46; Med Intensiva&#46; 2022&#59;46&#58;475&#8211;477&#46;</p>"
      ]
    ]
    "apendice" => array:1 [
      0 => array:1 [
        "seccion" => array:1 [
          0 => array:4 [
            "apendice" => "<p id="par0075" class="elsevierStylePara elsevierViewall">The following is Supplementary data to this article&#58;<elsevierMultimedia ident="upi0005"></elsevierMultimedia></p>"
            "etiqueta" => "Appendix A"
            "titulo" => "Supplementary data"
            "identificador" => "sec0020"
          ]
        ]
      ]
    ]
    "multimedia" => array:3 [
      0 => array:8 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 2530
            "Ancho" => 3091
            "Tamanyo" => 332534
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0010"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Main answers from respondents on the management of TPN-to-EN in the critically ill patient&#46;</p> <p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">EN&#44; enteral nutrition&#59; PN&#44; parenteral nutrition&#59; TPN-to-EN&#44; transition from total parenteral nutrition to enteral nutrition&#46;</p>"
        ]
      ]
      1 => array:8 [
        "identificador" => "fig0010"
        "etiqueta" => "Figure 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 1227
            "Ancho" => 3154
            "Tamanyo" => 139857
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0015"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Which should the diet of choice be to start TPN-to-EN in the critically ill patient&#63;</p> <p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">TPN-to-EN&#44; transition from total parenteral nutrition to enteral nutrition&#46;</p>"
        ]
      ]
      2 => array:5 [
        "identificador" => "upi0005"
        "tipo" => "MULTIMEDIAECOMPONENTE"
        "mostrarFloat" => false
        "mostrarDisplay" => true
        "Ecomponente" => array:2 [
          "fichero" => "mmc1.pdf"
          "ficheroTamanyo" => 245879
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:8 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Recommendations for specialized nutritional-metabolic management of the critical patient&#58; Indications&#44; timing and access routes&#46; Metabolism and Nutrition Working Group of the Spanish Society of Intensive and Critical Care Medicine and Coronary Units &#40;SEMICYUC&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46;I&#46; Herrero Meseguer"
                            1 => "J&#46;C&#46; Lopez-Delgado"
                            2 => "M&#46;P&#46; Mart&#237;nez Garc&#237;a"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.medin.2019.12.017"
                      "Revista" => array:7 [
                        "tituloSerie" => "Med Intensiva"
                        "fecha" => "2020"
                        "volumen" => "44"
                        "numero" => "Suppl 1"
                        "paginaInicial" => "33"
                        "paginaFinal" => "38"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/32532408"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "ESPEN guideline on clinical nutrition in the intensive care unit"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "P&#46; Singer"
                            1 => "A&#46;R&#46; Blaser"
                            2 => "M&#46;M&#46; Berger"
                            3 => "W&#46; Alhazzani"
                            4 => "P&#46;C&#46; Calder"
                            5 => "M&#46;P&#46; Casaer"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.clnu.2018.08.037"
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin Nutr"
                        "fecha" => "2019"
                        "volumen" => "38"
                        "paginaInicial" => "48"
                        "paginaFinal" => "79"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30348463"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Effects of enteral nutrition on gastrointestinal function in patients who are critically ill"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46; Sch&#246;rghuber"
                            1 => "S&#46; Fruhwald"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/S2468-1253(18)30036-0"
                      "Revista" => array:6 [
                        "tituloSerie" => "Lancet Gastroenterol Hepatol"
                        "fecha" => "2018"
                        "volumen" => "3"
                        "paginaInicial" => "281"
                        "paginaFinal" => "287"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29533200"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Parenteral nutrition is associated with intestinal morphologic and functional changes in humans"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46;L&#46; Buchman"
                            1 => "A&#46;A&#46; Moukarzel"
                            2 => "S&#46; Bhuta"
                            3 => "M&#46; Belle"
                            4 => "M&#46;E&#46; Ament"
                            5 => "C&#46;D&#46; Eckhert"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1177/0148607195019006453"
                      "Revista" => array:5 [
                        "tituloSerie" => "J Parenter Enter Nutr"
                        "fecha" => "1995"
                        "volumen" => "19"
                        "paginaInicial" => "453"
                        "paginaFinal" => "460"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Impact of caloric intake on parenteral nutrition-associated intestinal morphology and mucosal barrier function"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "X&#46; Sun"
                            1 => "A&#46;U&#46; Spencer"
                            2 => "H&#46; Yang"
                            3 => "E&#46;Q&#46; Haxhija"
                            4 => "D&#46;H&#46; Teitelbaum"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1177/0148607106030006474"
                      "Revista" => array:5 [
                        "tituloSerie" => "J Parenter Enter Nutr"
                        "fecha" => "2006"
                        "volumen" => "30"
                        "paginaInicial" => "474"
                        "paginaFinal" => "479"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Complicaciones gastrointestinales de la nutrici&#243;n enteral en el paciente cr&#237;tico"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46;C&#46; Montejo"
                            1 => "J&#46; Jim&#233;nez"
                            2 => "J&#46; Ord&#243;&#241;ez"
                            3 => "T&#46; Caparr&#243;s"
                            4 => "A&#46; Garc&#237;a"
                            5 => "C&#46; Ortiz"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Med Intensiva"
                        "fecha" => "2001"
                        "volumen" => "25"
                        "paginaInicial" => "152"
                        "paginaFinal" => "160"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Nutritrauma&#58; A key concept for minimising the harmful effects of the administration of medical nutrition therapy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46;C&#46; Y&#233;benes"
                            1 => "L&#46; Campins"
                            2 => "I&#46; Mart&#237;nez de Lagran"
                            3 => "L&#46; Bordeje"
                            4 => "C&#46; Lorencio"
                            5 => "T&#46; Grau"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3390/nu11081775"
                      "Revista" => array:4 [
                        "tituloSerie" => "Nutrients"
                        "fecha" => "2019"
                        "volumen" => "11"
                        "paginaInicial" => "1775"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A practice change initiative to improve the provision of enteral nutrition to intensive care patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "R&#46;J&#46; Jarden"
                            1 => "L&#46;J&#46; Sutton"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/nicc.12107"
                      "Revista" => array:6 [
                        "tituloSerie" => "Nurs Crit Care"
                        "fecha" => "2015"
                        "volumen" => "20"
                        "paginaInicial" => "242"
                        "paginaFinal" => "255"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25040624"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
    "agradecimientos" => array:1 [
      0 => array:4 [
        "identificador" => "xack617592"
        "titulo" => "Acknowledgements"
        "texto" => "<p id="par0065" class="elsevierStylePara elsevierViewall">We wish to thank all members from the Clinical Nutrition Working Group of the Spanish Society of Hospital Pharmacy &#40;SEFH&#41;&#44; and the Metabolism and Nutrition Working Group &#40;GTMyN&#41; of the Spanish Society of Intensive and Critical Care Medicine and Coronary Units &#40;SEMICYUC&#41;&#46; Also&#44; we wish to thank those who collaborated in the spreading and design of this survey&#46; Also&#44; thanks to all those who participated in the survey&#46; This study falls within the framework of a doctoral thesis conducted at Universidad Aut&#243;noma de Barcelona Medical School&#44; Barcelona&#44; Catalonia&#44; Spain&#46;</p>"
        "vista" => "all"
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/21735727/0000004600000008/v1_202207200525/S2173572722001175/v1_202207200525/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "15647"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Scientific letters"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/21735727/0000004600000008/v1_202207200525/S2173572722001175/v1_202207200525/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572722001175?idApp=WMIE"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Scientific Letter
Transition from total parenteral nutrition to enteral nutrition in critically ill patients in Spain: A national survey
Encuesta sobre la transición de nutrición parenteral total a nutrición enteral en pacientes críticos en los hospitales de España
L. Pérez-Cordóna,
Corresponding author
lperez@csdm.cat

Corresponding author.
, J.C. Yébenesb, I. Martínez de Lagránb, L. Campinsa
a Servicio de Farmacia, Hospital de Mataró, Mataró, Barcelona, Spain
b Servicio de Medicina Intensiva, Hospital de Mataró, Mataró, Barcelona, Spain
Read
5676
Times
was read the article
1199
Total PDF
4477
Total HTML
Share statistics
 array:24 [
  "pii" => "S2173572722001175"
  "issn" => "21735727"
  "doi" => "10.1016/j.medine.2022.06.003"
  "estado" => "S300"
  "fechaPublicacion" => "2022-08-01"
  "aid" => "1703"
  "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and SEMICYUC"
  "copyrightAnyo" => "2021"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "crp"
  "cita" => "Med Intensiva. 2022;46:475-7"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0210569121001923"
      "issn" => "02105691"
      "doi" => "10.1016/j.medin.2021.08.010"
      "estado" => "S300"
      "fechaPublicacion" => "2022-08-01"
      "aid" => "1703"
      "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; y SEMICYUC"
      "documento" => "simple-article"
      "crossmark" => 1
      "subdocumento" => "crp"
      "cita" => "Med Intensiva. 2022;46:475-7"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:1 [
        "total" => 0
      ]
      "es" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Carta cient&#237;fica</span>"
        "titulo" => "Encuesta sobre la transici&#243;n de nutrici&#243;n parenteral total a nutrici&#243;n enteral en pacientes cr&#237;ticos en los hospitales de Espa&#241;a"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "475"
            "paginaFinal" => "477"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Transition from total parenteral nutrition to enteral nutrition in critically ill patients in Spain&#58; a national survey"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:7 [
            "identificador" => "fig0005"
            "etiqueta" => "Figura 1"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr1.jpeg"
                "Alto" => 2035
                "Ancho" => 2500
                "Tamanyo" => 252508
              ]
            ]
            "descripcion" => array:1 [
              "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Principales respuestas de los participantes sobre el manejo de la TNPANE en el paciente cr&#237;tico&#46;</p> <p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">NE&#58; nutrici&#243;n enteral&#59; NP&#58; nutrici&#243;n parenteral&#59; TNPANE&#58; transici&#243;n de nutrici&#243;n parenteral total a nutrici&#243;n enteral&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "L&#46; P&#233;rez-Cord&#243;n, J&#46;C&#46; Y&#233;benes, I&#46; Mart&#237;nez de Lagr&#225;n, L&#46; Campins"
            "autores" => array:4 [
              0 => array:2 [
                "nombre" => "L&#46;"
                "apellidos" => "P&#233;rez-Cord&#243;n"
              ]
              1 => array:2 [
                "nombre" => "J&#46;C&#46;"
                "apellidos" => "Y&#233;benes"
              ]
              2 => array:2 [
                "nombre" => "I&#46;"
                "apellidos" => "Mart&#237;nez de Lagr&#225;n"
              ]
              3 => array:2 [
                "nombre" => "L&#46;"
                "apellidos" => "Campins"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S2173572722001175"
          "doi" => "10.1016/j.medine.2022.06.003"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572722001175?idApp=WMIE"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569121001923?idApp=WMIE"
      "url" => "/02105691/0000004600000008/v1_202207150657/S0210569121001923/v1_202207150657/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S2173572722001163"
    "issn" => "21735727"
    "doi" => "10.1016/j.medine.2022.06.002"
    "estado" => "S300"
    "fechaPublicacion" => "2022-08-01"
    "aid" => "1701"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and SEMICYUC"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "crp"
    "cita" => "Med Intensiva. 2022;46:477-80"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Scientific letter</span>"
      "titulo" => "Use of thoracic ultrasound in the assessment and follow-up of seriously ill children due to pediatric inflammatory multisystemic syndrome&#58; Observational prospective study"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "477"
          "paginaFinal" => "480"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Utilidad de la ecograf&#237;a tor&#225;cica en la valoraci&#243;n y seguimiento del ni&#241;o grave por s&#237;ndrome inflamatorio multisist&#233;mico pedi&#225;trico&#58; estudio prospectivo observacional"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "A&#46; Gonz&#225;lez-Brabin, M&#46; Cabrero-Hern&#225;ndez, A&#46; Garc&#237;a-Salido, I&#46; Leoz-Gordillo, M&#46;I&#46; Iglesias-Bouzas, M&#46; Nieto-Moro"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Gonz&#225;lez-Brabin"
            ]
            1 => array:2 [
              "nombre" => "M&#46;"
              "apellidos" => "Cabrero-Hern&#225;ndez"
            ]
            2 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Garc&#237;a-Salido"
            ]
            3 => array:2 [
              "nombre" => "I&#46;"
              "apellidos" => "Leoz-Gordillo"
            ]
            4 => array:2 [
              "nombre" => "M&#46;I&#46;"
              "apellidos" => "Iglesias-Bouzas"
            ]
            5 => array:2 [
              "nombre" => "M&#46;"
              "apellidos" => "Nieto-Moro"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S021056912100190X"
        "doi" => "10.1016/j.medin.2021.08.008"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S021056912100190X?idApp=WMIE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572722001163?idApp=WMIE"
    "url" => "/21735727/0000004600000008/v1_202207200525/S2173572722001163/v1_202207200525/en/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S2173572722001540"
    "issn" => "21735727"
    "doi" => "10.1016/j.medine.2021.09.001"
    "estado" => "S300"
    "fechaPublicacion" => "2022-08-01"
    "aid" => "1707"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and SEMICYUC"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "crp"
    "cita" => "Med Intensiva. 2022;46:472-4"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Scientific letter</span>"
      "titulo" => "Anti-ACTH antibodies in critically ill Covid-19 patients&#58; A potential immune evasion mechanism of SARS-CoV-2"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "472"
          "paginaFinal" => "474"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Anticuerpos anti-ACTH en pacientes cr&#237;ticos con Covid-19&#58; Un posible mecanismo de evasi&#243;n inmunitaria del SARS-CoV-2"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "D&#46; P&#233;rez-Torres, C&#46; D&#237;az-Rodr&#237;guez, A&#46; Armentia-Medina"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "D&#46;"
              "apellidos" => "P&#233;rez-Torres"
            ]
            1 => array:2 [
              "nombre" => "C&#46;"
              "apellidos" => "D&#237;az-Rodr&#237;guez"
            ]
            2 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Armentia-Medina"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572722001540?idApp=WMIE"
    "url" => "/21735727/0000004600000008/v1_202207200525/S2173572722001540/v1_202207200525/en/main.assets"
  ]
  "en" => array:20 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Scientific Letter</span>"
    "titulo" => "Transition from total parenteral nutrition to enteral nutrition in critically ill patients in Spain&#58; A national survey"
    "tieneTextoCompleto" => true
    "saludo" => "To the Editor&#58;"
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "475"
        "paginaFinal" => "477"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "L&#46; P&#233;rez-Cord&#243;n, J&#46;C&#46; Y&#233;benes, I&#46; Mart&#237;nez de Lagr&#225;n, L&#46; Campins"
        "autores" => array:4 [
          0 => array:4 [
            "nombre" => "L&#46;"
            "apellidos" => "P&#233;rez-Cord&#243;n"
            "email" => array:1 [
              0 => "lperez@csdm.cat"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "J&#46;C&#46;"
            "apellidos" => "Y&#233;benes"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "I&#46;"
            "apellidos" => "Mart&#237;nez de Lagr&#225;n"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "L&#46;"
            "apellidos" => "Campins"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Servicio de Farmacia&#44; Hospital de Matar&#243;&#44; Matar&#243;&#44; Barcelona&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Medicina Intensiva&#44; Hospital de Matar&#243;&#44; Matar&#243;&#44; Barcelona&#44; Spain"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Encuesta sobre la transici&#243;n de nutrici&#243;n parenteral total a nutrici&#243;n enteral en pacientes cr&#237;ticos en los hospitales de Espa&#241;a"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:8 [
        "identificador" => "fig0010"
        "etiqueta" => "Figure 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 1227
            "Ancho" => 3154
            "Tamanyo" => 139857
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0015"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Which should the diet of choice be to start TPN-to-EN in the critically ill patient&#63;</p> <p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">TPN-to-EN&#44; transition from total parenteral nutrition to enteral nutrition&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">The administration of parenteral nutrition to critically ill patients is indicated in cases of intestinal failure that prevents the administration of enteral nutrition &#40;EN&#41; or in situations that condition poor supply<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;2</span></a>&#46; Despite the fact that few studies have been conducted in critically ill patients&#44; it is assumed that bowel rest associated with the exclusive use of total parenteral nutrition &#40;TPN&#41; damages the structure and functions of the intestinal mucosa<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">3&#8211;5</span></a>&#46; In this context&#44; tolerance at the beginning of enteral support could be influenced by these anatomical and functional changes&#46; The clinical implications of these alterations have not been studied thoroughly and are barely mentioned in the clinical practice guidelines and the medical literature available&#46; At this point&#44; the incidence rate of complications during transition from total parenteral nutrition to enteral nutrition &#40;TPN-to-EN&#41; or whether it is possible to impact&#8212;through clinical practice&#8212;the tolerance of rebooting EN remains unknown&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">The objective of our study is to know the routine clinical practice in the management of TPN-to-EN in critically ill patients at the intensive care unit &#40;ICU&#41; setting&#46; Therefore&#44; an anonymized survey was submitted&#8212;one time only&#8212;to the Clinical Nutrition Working Group of the Spanish Society of Hospital Pharmacy &#40;SEFH&#41; and the SEFH list&#46; Also&#44; to the Metabolism and Nutrition Working Group &#40;GTMyN&#41; of the Spanish Society of Intensive and Critical Care Medicine and Coronary Units &#40;SEMICYUC&#41; and to those Spanish hospitals interested in participating&#46; Survey was conducted between January 20&#44; 2021 and February 20&#44; 2021 through an online form&#46; Different health professionals from the same unit participated&#46; Survey consisted of 20 questions grouped into 3 categories &#40;Appendix B&#59; Table 1 of the Supplementary data &#91;SD&#93;&#41;&#58; participant data&#44; definition&#44; and degree of protocolization&#44; and type of enteral formulation that should be used&#46; Descriptive statistical analyses of the sample were performed&#46; Variables are expressed as percentages&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">A total of 105 health professionals in Spain responded to the survey&#46; A total of 61&#46;90&#37; of respondents worked at the intensive medicine unit setting&#44; 34&#46;29&#37; at the hospital pharmacy&#44; and 3&#46;81&#37; at the diet or endocrinology unit&#46; The characteristics of participants are shown in Appendix B&#59; Table 2 of the SD&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">A total of 96&#46;19&#37; of respondents claimed that the goal of transition was to guarantee the tolerance of a certain percentage of caloric and protein requirements provided via EN &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; Although the range of responses on which the threshold to suspend parenteral nutrition was between 40&#37; and 100&#37; of the theoretical enteral requirements&#44; 74&#46;26&#37; of respondents considered the range to be somewhere between 60&#37; and 75&#37; &#40;Appendix B&#59; Fig&#46; 1 of the SD&#41;&#46; A total of 65&#46;71&#37; considered that a defined temporal margin should have been established to do the transition being 72<span class="elsevierStyleHsp" style=""></span>h the most suggested timeframe of all &#40;Fig&#46; 1&#44; and Appendix B&#59; Fig&#46; 2 of the SD&#41;&#46; A total of 56&#46;19&#37; responded that the criteria to start EN should be the same ones that are used for critically ill patients with functional bowel &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">A great variability was seen in the selection of the type of diet &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#46; Respondents considered that the diets to start TPN-to-EN in the critically ill patient should be fiberless polymeric diets &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>42&#41;&#44; fiber polymeric diets &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>29&#41;&#44; oligomeric or hydrolyzed diets &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>29&#41;&#44; and glutamine-based peptide compound diets &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>14&#41;&#46; In the routine clinical practice&#44; 94&#46;29&#37; of respondents start EN at progressive volumes compared to 5&#46;71&#37; who start full doses&#46; A total of 45&#46;71&#37; responded that there is scientific evidence to say that gradually increasing the volume and complexity of the diet could improve enteral tolerance &#40;Appendix B&#59; Fig&#46; 3 of the SD&#41;&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0030" class="elsevierStylePara elsevierViewall">During the process of transition&#44; 61&#46;90&#37; of respondents said that they subtract the calories administered via enteral nutrition from parenteral nutrition by estimating and adjusting both supplies unlike 35&#46;24&#37; of respondents who do so on a rough basis &#40;Appendix B&#59; Fig&#46; 4 of the SD&#41;&#46; A total of 71&#46;43&#37; responded that&#44; based on their own experience&#44; patients who do this transition should not have a higher rate of GI complications compared to those who start EN early on &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; Regarding GI complications<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a>&#44; they considered that the most common of all are increased gastric residual volume &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>69&#41;&#44; abdominal distension &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>60&#41;&#44; diarrhea &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>48&#41;&#44; food regurgitation &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>27&#41;&#44; vomiting &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>16&#41;&#44; and constipation &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>15&#41;&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Our results show a significant variability among the different hospitals that participated in the survey regarding TPN-to-EN&#46; Currently&#44; few recommendations exist in the clinical practice guidelines and scientific literature on what the best time to start this transition should be&#44; how to move forward with the procedure&#44; the effect enteral diet has on tolerance or management&#44; and the necessary duration of such procedure&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">Respondents to the survey thought that transition should achieve tolerance of 60&#37;&#8211;75&#37; of caloric and protein requirements via enteral nutrition in a 72-h timeframe&#46; Also&#44; that parenteral nutrition should be removed without need for consensus on the type of enteral diet that should be used&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">Process should be gradual throughout 48&#8211;72<span class="elsevierStyleHsp" style=""></span>h although with variable duration and based on the characteristics of the patient and the degree of tolerance towards EN&#46; We should mention that there was no urgent need to suspend parenteral nutrition immediately&#46; However&#44; the caloric and protein intakes of both nutritional supports should be closely monitored to avoid overnutrition<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a>&#46; Transition should be considered complete once the patient can tolerate &#62;60&#37;&#8211;75&#37; of the enteral diet prescribed for&#44; at least&#44; 48&#8211;72<span class="elsevierStyleHsp" style=""></span>h&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">The development and implementation of protocols based on scientific evidence on the management of nutritional medical treatment improve clinical practice and impact the prognosis of critically ill patients<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a>&#46; The lack of evidence and consensus on the management of this clinical situation together with the results of this survey back up the importance of reviewing the best strategy to optimize TPN-to-EN in the critically ill patient could be&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0055" class="elsevierStylePara elsevierViewall">None whatsoever&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflicts of interest</span><p id="par0060" class="elsevierStylePara elsevierViewall">None reported&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:4 [
        0 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Funding"
        ]
        1 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Conflicts of interest"
        ]
        2 => array:2 [
          "identificador" => "xack617592"
          "titulo" => "Acknowledgements"
        ]
        3 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2021-07-15"
    "fechaAceptado" => "2021-08-29"
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; P&#233;rez-Cord&#243;n L&#44; Y&#233;benes JC&#44; Mart&#237;nez de Lagr&#225;n I&#44; Campins L&#46; Encuesta sobre la transici&#243;n de nutrici&#243;n parenteral total a nutrici&#243;n enteral en pacientes cr&#237;ticos en los hospitales de Espa&#241;a&#46; Med Intensiva&#46; 2022&#59;46&#58;475&#8211;477&#46;</p>"
      ]
    ]
    "apendice" => array:1 [
      0 => array:1 [
        "seccion" => array:1 [
          0 => array:4 [
            "apendice" => "<p id="par0075" class="elsevierStylePara elsevierViewall">The following is Supplementary data to this article&#58;<elsevierMultimedia ident="upi0005"></elsevierMultimedia></p>"
            "etiqueta" => "Appendix A"
            "titulo" => "Supplementary data"
            "identificador" => "sec0020"
          ]
        ]
      ]
    ]
    "multimedia" => array:3 [
      0 => array:8 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 2530
            "Ancho" => 3091
            "Tamanyo" => 332534
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0010"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Main answers from respondents on the management of TPN-to-EN in the critically ill patient&#46;</p> <p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">EN&#44; enteral nutrition&#59; PN&#44; parenteral nutrition&#59; TPN-to-EN&#44; transition from total parenteral nutrition to enteral nutrition&#46;</p>"
        ]
      ]
      1 => array:8 [
        "identificador" => "fig0010"
        "etiqueta" => "Figure 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 1227
            "Ancho" => 3154
            "Tamanyo" => 139857
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0015"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Which should the diet of choice be to start TPN-to-EN in the critically ill patient&#63;</p> <p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">TPN-to-EN&#44; transition from total parenteral nutrition to enteral nutrition&#46;</p>"
        ]
      ]
      2 => array:5 [
        "identificador" => "upi0005"
        "tipo" => "MULTIMEDIAECOMPONENTE"
        "mostrarFloat" => false
        "mostrarDisplay" => true
        "Ecomponente" => array:2 [
          "fichero" => "mmc1.pdf"
          "ficheroTamanyo" => 245879
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:8 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Recommendations for specialized nutritional-metabolic management of the critical patient&#58; Indications&#44; timing and access routes&#46; Metabolism and Nutrition Working Group of the Spanish Society of Intensive and Critical Care Medicine and Coronary Units &#40;SEMICYUC&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46;I&#46; Herrero Meseguer"
                            1 => "J&#46;C&#46; Lopez-Delgado"
                            2 => "M&#46;P&#46; Mart&#237;nez Garc&#237;a"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.medin.2019.12.017"
                      "Revista" => array:7 [
                        "tituloSerie" => "Med Intensiva"
                        "fecha" => "2020"
                        "volumen" => "44"
                        "numero" => "Suppl 1"
                        "paginaInicial" => "33"
                        "paginaFinal" => "38"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/32532408"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "ESPEN guideline on clinical nutrition in the intensive care unit"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "P&#46; Singer"
                            1 => "A&#46;R&#46; Blaser"
                            2 => "M&#46;M&#46; Berger"
                            3 => "W&#46; Alhazzani"
                            4 => "P&#46;C&#46; Calder"
                            5 => "M&#46;P&#46; Casaer"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.clnu.2018.08.037"
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin Nutr"
                        "fecha" => "2019"
                        "volumen" => "38"
                        "paginaInicial" => "48"
                        "paginaFinal" => "79"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30348463"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Effects of enteral nutrition on gastrointestinal function in patients who are critically ill"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46; Sch&#246;rghuber"
                            1 => "S&#46; Fruhwald"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/S2468-1253(18)30036-0"
                      "Revista" => array:6 [
                        "tituloSerie" => "Lancet Gastroenterol Hepatol"
                        "fecha" => "2018"
                        "volumen" => "3"
                        "paginaInicial" => "281"
                        "paginaFinal" => "287"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29533200"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Parenteral nutrition is associated with intestinal morphologic and functional changes in humans"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46;L&#46; Buchman"
                            1 => "A&#46;A&#46; Moukarzel"
                            2 => "S&#46; Bhuta"
                            3 => "M&#46; Belle"
                            4 => "M&#46;E&#46; Ament"
                            5 => "C&#46;D&#46; Eckhert"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1177/0148607195019006453"
                      "Revista" => array:5 [
                        "tituloSerie" => "J Parenter Enter Nutr"
                        "fecha" => "1995"
                        "volumen" => "19"
                        "paginaInicial" => "453"
                        "paginaFinal" => "460"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Impact of caloric intake on parenteral nutrition-associated intestinal morphology and mucosal barrier function"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "X&#46; Sun"
                            1 => "A&#46;U&#46; Spencer"
                            2 => "H&#46; Yang"
                            3 => "E&#46;Q&#46; Haxhija"
                            4 => "D&#46;H&#46; Teitelbaum"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1177/0148607106030006474"
                      "Revista" => array:5 [
                        "tituloSerie" => "J Parenter Enter Nutr"
                        "fecha" => "2006"
                        "volumen" => "30"
                        "paginaInicial" => "474"
                        "paginaFinal" => "479"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Complicaciones gastrointestinales de la nutrici&#243;n enteral en el paciente cr&#237;tico"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46;C&#46; Montejo"
                            1 => "J&#46; Jim&#233;nez"
                            2 => "J&#46; Ord&#243;&#241;ez"
                            3 => "T&#46; Caparr&#243;s"
                            4 => "A&#46; Garc&#237;a"
                            5 => "C&#46; Ortiz"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Med Intensiva"
                        "fecha" => "2001"
                        "volumen" => "25"
                        "paginaInicial" => "152"
                        "paginaFinal" => "160"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Nutritrauma&#58; A key concept for minimising the harmful effects of the administration of medical nutrition therapy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46;C&#46; Y&#233;benes"
                            1 => "L&#46; Campins"
                            2 => "I&#46; Mart&#237;nez de Lagran"
                            3 => "L&#46; Bordeje"
                            4 => "C&#46; Lorencio"
                            5 => "T&#46; Grau"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3390/nu11081775"
                      "Revista" => array:4 [
                        "tituloSerie" => "Nutrients"
                        "fecha" => "2019"
                        "volumen" => "11"
                        "paginaInicial" => "1775"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A practice change initiative to improve the provision of enteral nutrition to intensive care patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "R&#46;J&#46; Jarden"
                            1 => "L&#46;J&#46; Sutton"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/nicc.12107"
                      "Revista" => array:6 [
                        "tituloSerie" => "Nurs Crit Care"
                        "fecha" => "2015"
                        "volumen" => "20"
                        "paginaInicial" => "242"
                        "paginaFinal" => "255"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25040624"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
    "agradecimientos" => array:1 [
      0 => array:4 [
        "identificador" => "xack617592"
        "titulo" => "Acknowledgements"
        "texto" => "<p id="par0065" class="elsevierStylePara elsevierViewall">We wish to thank all members from the Clinical Nutrition Working Group of the Spanish Society of Hospital Pharmacy &#40;SEFH&#41;&#44; and the Metabolism and Nutrition Working Group &#40;GTMyN&#41; of the Spanish Society of Intensive and Critical Care Medicine and Coronary Units &#40;SEMICYUC&#41;&#46; Also&#44; we wish to thank those who collaborated in the spreading and design of this survey&#46; Also&#44; thanks to all those who participated in the survey&#46; This study falls within the framework of a doctoral thesis conducted at Universidad Aut&#243;noma de Barcelona Medical School&#44; Barcelona&#44; Catalonia&#44; Spain&#46;</p>"
        "vista" => "all"
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/21735727/0000004600000008/v1_202207200525/S2173572722001175/v1_202207200525/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "15647"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Scientific letters"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/21735727/0000004600000008/v1_202207200525/S2173572722001175/v1_202207200525/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572722001175?idApp=WMIE"
]
Article information
ISSN: 21735727
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 8 7 15
2024 October 252 86 338
2024 September 312 80 392
2024 August 252 86 338
2024 July 194 59 253
2024 June 309 72 381
2024 May 264 71 335
2024 April 234 60 294
2024 March 240 37 277
2024 February 217 68 285
2024 January 234 44 278
2023 December 190 60 250
2023 November 203 44 247
2023 October 191 55 246
2023 September 129 44 173
2023 August 113 22 135
2023 July 147 32 179
2023 June 124 30 154
2023 May 157 37 194
2023 April 96 17 113
2023 March 152 39 191
2023 February 129 40 169
2023 January 126 28 154
2022 December 110 35 145
2022 November 89 43 132
2022 October 4 3 7
2022 August 1 0 1
Show all

Follow this link to access the full text of the article

Idiomas
Medicina Intensiva (English Edition)
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?