Resumo

BERMUDEZ, Charles; SANABRIA, Álvaro  e  VEGA, Valentín. Nutritional support in the adult. Consensus meeting of the Colombian Association of Clinical Nutrition. rev. colomb. cir. [online]. 2013, vol.28, n.2, pp.101-116. ISSN 2011-7582.

Introduction: Nutritional support is the only therapeutic strategy for patients with difficulties in food ingestion. This document tries to unify concepts about nutrition in adults and to develop a simple and easy to consult tool. Material and methods: A consensus development method was chosen. The Colombian Association for Clinical Nutrition selected experts based on their leadership in nutritional support groups, their profession and place of work. Twenty five people answered the surveys and three groups were assembled: one to define the structure of nutritional support groups, to calculate caloric requirements; and to discuss enteral and parenteral access methods. Question about each subject were previously defined and the answers were categorized. After three rounds, the consensus method was closed. Results: It was possible to attain a consensus on the necessity to have nutritional support group to manage adults patients with enteral or parenteral nutrition|; the group should include a physician, a nutritionist, a nurse and pharmaceutical chemist with specific functions; patients should be assessed daily; the Harris-Benedict formula should be used to calculate energy requirements; protein, fat and caloric contribution doses; enteral tube should be made of silicone or polyurethane; indications of enteral tubes; indication of duodenal tubes; indication of percutaneous endoscopic gastrostomy as the definitive way of enteral nutrition; time to begin enteral nutrition; management of enteral tubes for medicine administration; indications of parenteral nutrition; use of central vein catheter and dressings; way and place of catheter insertion and time of change. Conclusion: There are recommendations in nutritional support that are widely accepted and allow a standardization of processes.

Palavras-chave : consensus development conference; nutrition personnel; nutrition programs; enteral nutrition; parenteral nutrition; total.

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