Laboratory and calorimetric monitoring of medical nutrition therapy in intensive and intermediate care units Second position paper of the Section Metabolism and Nutrition of the German Interdisciplinary Association for Intensive Care and Emergency Medicine (DIVI)

This second position paper of the Section Metabolism and Nutrition of the German Interdisciplinary Association for Intensive Care and Emergency Medicine (DIVI) provides recommendations on the laboratory monitoring of macro- and micronutrient intake as well as the use of indirect calorimetry in the context of medical nutrition therapy of critically ill adult patients. In addition, recommendations are given for disease-related or individual (level determination) substitution and (high-dose) pharmacotherapy of vitamins and trace elements.

Automated summary

This paper provides recommendations on laboratory monitoring of macronutrient and micronutrient intake, as well as the use of indirect calorimetry in medical nutrition therapy for critically ill adult patients. Furthermore, recommendations are given for disease-related or individual level determination of substitution and pharmacotherapy for vitamins and trace elements.