Trophic feeding
20 kcal/kg · 0.8 g protein/kg
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Enteral Nutritional Support in Critically Ill Patients
Clinical calculator based on ASPEN / ESPEN guidelines
Full feeding
30 kcal/kg · 2.0 g protein/kg
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Hypocaloric / high-protein
15 kcal/kg · 2.0 g protein/kg
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Enteral suggestion – Trophic feeding
| Brand | Formula | kcal/ml | Total volume (ml/day) |
Total kcal/day | Protein (g/day) |
Protein deficit (g/day) |
|---|---|---|---|---|---|---|
| Yeviti | 1.0 | 4.0 | — | — | — | — |
| Energy | 1.25 | 5.6 | — | — | — | — |
| Intense | 1.25 | 6.3 | — | — | — | — |
| Protison | 1.5 | 7.5 | — | — | — | — |
Enteral suggestion – Full feeding
| Brand | Formula | kcal/ml | Total volume (ml/day) |
Total kcal/day | Protein (g/day) |
Protein deficit (g/day) |
|---|---|---|---|---|---|---|
| Yeviti | 1.0 | 4.0 | — | — | — | — |
| Energy | 1.25 | 5.6 | — | — | — | — |
| Intense | 1.25 | 6.3 | — | — | — | — |
| Protison | 1.5 | 7.5 | — | — | — | — |
Enteral suggestion – Hypocaloric / high-protein
| Brand | Formula | kcal/ml | Total volume (ml/day) |
Total kcal/day | Protein (g/day) |
Protein deficit (g/day) |
|---|---|---|---|---|---|---|
| Yeviti | 1.0 | 4.0 | — | — | — | — |
| Energy | 1.25 | 5.6 | — | — | — | — |
| Intense | 1.25 | 6.3 | — | — | — | — |
| Protison | 1.5 | 7.5 | — | — | — | — |
Important clinical note
• In patients with burns >15% total body surface area (TBSA), protein requirements may be significantly increased, even in the presence of chronic kidney disease.
• In patients with obesity (BMI >30 kg/m²), consider using ideal body weight or adjusted body weight for calorie estimation, while maintaining a hypocaloric / high-protein strategy according to ASPEN / ESPEN guidelines.
• Enteral formula suggestions are for guidance only and do not replace clinical judgment. Consider modular protein supplementation if a protein deficit persists.
• In patients with burns >15% total body surface area (TBSA), protein requirements may be significantly increased, even in the presence of chronic kidney disease.
• In patients with obesity (BMI >30 kg/m²), consider using ideal body weight or adjusted body weight for calorie estimation, while maintaining a hypocaloric / high-protein strategy according to ASPEN / ESPEN guidelines.
• Enteral formula suggestions are for guidance only and do not replace clinical judgment. Consider modular protein supplementation if a protein deficit persists.