Neurocritical Care Nutrition: Unique Considerations and Strategies for Optimizing Energy Supply and Metabolic Support in Critically Ill Patients Article Swipe
Jae Hyun Kim
,
Yoon Hee Choo
,
Moinay Kim
,
Hanwool Jeon
,
Hee‐Won Jung
,
Eun Jin Ha
,
Jiwoong Oh
,
Youngbo Shim
,
Seung Bin Kim
,
Han-Gil Jung
,
So Hui Park
,
Jung Ook Kim
,
Junhyung Kim
,
Hyeseon Kim
,
Seungjoo Lee
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.32587/jnic.2023.00689
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.32587/jnic.2023.00689
Neuro-critically ill patients face unique challenges in nutritional support due to varying metabolic and energy demands arising from clinical situations such as elevated intracranial pressure, trauma, stroke, epilepsy, targeted temperature management (TTM), and pharmacological interventions. Despite these challenges, there is a lack of systematic reviews addressing their specific needs. This study conducts a systematic review and narrative synthesis of the existing literature on nutritional support for neuro-critical patients, focusing on amino acids that act as neurotransmitters or their precursors. We examined nutritional requirements and timing in patients with stroke and traumatic brain injury, as well as energy and metabolic demands during TTM, a common therapeutic intervention in neuro-critical care. Our review aims to clarify uncertainties surrounding amino acid provision in neuro-critical patients and provide up-to-date recommendations on nutritional support for those with elevated intracranial pressure and undergoing TTM, serving as a foundation for future research and evidence-based guideline development. Key findings include the potential benefits of branched-chain amino acids (BCAAs) in neuro-critical care, the roles of methionine and serine, the significance of arginine in vascular constriction, the controversial role of glutamate in nutrition, and the potential benefits of selenium supplementation. We also discussed special considerations in nutritional support for neuro-critical patients, such as changes in energy demand, the influence of sedation on energy demand, and metabolism changes during TTM. Our review highlights the need for a better understanding of the unique metabolic requirements of neuro-critical patients and the development of evidence-based guidelines for optimal nutritional support in this population.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.32587/jnic.2023.00689
- http://www.e-jnic.org/upload/pdf/jnic-2023-00689.pdf
- OA Status
- diamond
- Cited By
- 2
- References
- 66
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4388157573
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4388157573Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.32587/jnic.2023.00689Digital Object Identifier
- Title
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Neurocritical Care Nutrition: Unique Considerations and Strategies for Optimizing Energy Supply and Metabolic Support in Critically Ill PatientsWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2023Year of publication
- Publication date
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2023-10-30Full publication date if available
- Authors
-
Jae Hyun Kim, Yoon Hee Choo, Moinay Kim, Hanwool Jeon, Hee‐Won Jung, Eun Jin Ha, Jiwoong Oh, Youngbo Shim, Seung Bin Kim, Han-Gil Jung, So Hui Park, Jung Ook Kim, Junhyung Kim, Hyeseon Kim, Seungjoo LeeList of authors in order
- Landing page
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https://doi.org/10.32587/jnic.2023.00689Publisher landing page
- PDF URL
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https://www.e-jnic.org/upload/pdf/jnic-2023-00689.pdfDirect link to full text PDF
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YesWhether a free full text is available
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-
diamondOpen access status per OpenAlex
- OA URL
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https://www.e-jnic.org/upload/pdf/jnic-2023-00689.pdfDirect OA link when available
- Concepts
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Intensive care medicine, Medicine, Traumatic brain injury, Neurointensive care, Psychological intervention, Critically ill, Intracranial pressure, Medical nutrition therapy, Psychiatry, SurgeryTop concepts (fields/topics) attached by OpenAlex
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2Total citation count in OpenAlex
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2025: 2Per-year citation counts (last 5 years)
- References (count)
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66Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.foundation | 141 |
| abstract_inverted_index.guidelines | 241 |
| abstract_inverted_index.highlights | 221 |
| abstract_inverted_index.literature | 61 |
| abstract_inverted_index.management | 30 |
| abstract_inverted_index.metabolism | 215 |
| abstract_inverted_index.methionine | 166 |
| abstract_inverted_index.nutrition, | 182 |
| abstract_inverted_index.situations | 19 |
| abstract_inverted_index.systematic | 43, 53 |
| abstract_inverted_index.undergoing | 136 |
| abstract_inverted_index.up-to-date | 124 |
| abstract_inverted_index.challenges, | 37 |
| abstract_inverted_index.development | 238 |
| abstract_inverted_index.nutritional | 7, 63, 81, 127, 196, 244 |
| abstract_inverted_index.population. | 248 |
| abstract_inverted_index.precursors. | 78 |
| abstract_inverted_index.surrounding | 115 |
| abstract_inverted_index.temperature | 29 |
| abstract_inverted_index.therapeutic | 104 |
| abstract_inverted_index.development. | 148 |
| abstract_inverted_index.intervention | 105 |
| abstract_inverted_index.intracranial | 23, 133 |
| abstract_inverted_index.requirements | 82, 232 |
| abstract_inverted_index.significance | 170 |
| abstract_inverted_index.constriction, | 175 |
| abstract_inverted_index.controversial | 177 |
| abstract_inverted_index.uncertainties | 114 |
| abstract_inverted_index.understanding | 227 |
| abstract_inverted_index.branched-chain | 156 |
| abstract_inverted_index.considerations | 194 |
| abstract_inverted_index.evidence-based | 146, 240 |
| abstract_inverted_index.interventions. | 34 |
| abstract_inverted_index.neuro-critical | 66, 107, 120, 161, 199, 234 |
| abstract_inverted_index.pharmacological | 33 |
| abstract_inverted_index.recommendations | 125 |
| abstract_inverted_index.Neuro-critically | 0 |
| abstract_inverted_index.supplementation. | 189 |
| abstract_inverted_index.neurotransmitters | 75 |
| cited_by_percentile_year.max | 97 |
| cited_by_percentile_year.min | 95 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 15 |
| citation_normalized_percentile.value | 0.60623807 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |