Note: The 2015 CPGs are the most recent guidelines.
The 2013 Clinical Practice Guidelines summarized the evidence from approximately 300 randomized controlled trials in the area of critical care nutrition since 1980. The 2013 guideline update and implementation strategies is published in Nutrition in Clinical Practice.
The included studies underwent a formal review process by the Canadian Clinical Practice Guidelines Committee and provided the latest and best evidence for clinical practice in the various areas of critical care nutrition. These guidelines were developed in collaboration with the Canadian Critical Care Society (CCCS) and the Canadian Critical Care Trials Group (CCCTG).
List of new randomized controlled trials included under each topic (n=80).
Summary of Recommendations 2013 vs. 2009.
The guidelines summarizes the evidence from 67 new randomized controlled trials since the 2009 Guidelines.
There are a total of 45 recommendations under 12 main topics and several sub topics.
New! There are 10 new sections under the topics of Intentional Underfeeding, Gastric Residual Volumes, Early vs. late Parenteral nutrition, Fish Oil supplementation, Combined Enteral and Parenteral Glutamine, Optimal Glucose Control & Vitamin D.
Spanish translations available of the Summary of Recommendations and each CPG topic.
Updated April 9th, 2013
March 2013
3.1 Indirect Calorimetry vs. Predictive
(Click here for 2009 version)
March 2013
4.1a Diets Supplemented with Arginine and Select Other Nutrients
(Click here for 2009 version)
March 2013
4.2a High fat/Low Carbohydrate
(Click here for 2009 version)
March 2013
5.1 Feeding Protocols
(Click here for 2009 version)
March 2013
6.1 Closed vs. Open system
(Click here for 2009 version)
March 2013
7.1 Combination Enteral and Parenteral Nutrition
(Click here for 2009 version)
March 2013
9.1 Branched Chain Amino Acids
(Click here for 2009 version)
March 2013
10.1 Dose of Parenteral Nutrition
(Click here for 2009 version)
April 2013
11.1 Combined Vitamins and Trace Elements
(Click here for 2009 version)