Clinical Guidelines

Clinical guidelines are systematically developed statements to assist practitioner and patient decisions about appropriate nutrition care for specific clinical circumstances. (Institute of Medicine) Clinical Guidelines define the role of specific diagnostic and treatment modalities in the diagnosis and management of patients. Clinical Guidelines contain recommendations that are based on evidence from a rigorous systematic review and evaluation of the published medical literature. These guidelines may include categories outlined by the National Guideline ClearinghouseTM such as screening, evaluation, assessment of therapeutic effectiveness, management, rehabilitation, risk assessment, technology assessment, or treatment relating either to a specific disease or condition or to a therapy.

  1. 2017 Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient 2017 Vol 41, Issue 5, pp. 706 - 742
  2. 2016 Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient 2016 Vol 40, Issue 2, pp. 159 - 211
  3. 2014 ASPEN Clinical Guidelines: Support of Pediatric Patients with Intestinal Failure at Risk of Parenteral Nutrition - Associated Liver Disease 2014 Vol. 38, Issue 5, pp. 538–557
  4. 2014 ASPEN Clinical Guidelines: Parenteral Nutrition Ordering, Order Review, Compounding, Labeling, and Dispensing 2014, Vol 38, Issue 3, pp. 334–377
  5. 2013 ASPEN Clinical Guidelines: Nutrition Support of Hospitalized Adult Patients With Obesity 2013, Vol 37, Issue 6, pp. 714 - 744 
  6. 2013 ASPEN Clinical Guidelines: Nutrition Support of Neonatal Patients at Risk for Metabolic Bone Disease 2013, Vol 37, Issue 5, pp. 570–598
  7. 2013 ASPEN Clinical Guidelines: Nutrition Support of Adult Patients With Hyperglycemia
  8. 2012 ASPEN Clinical Guidelines: Nutrition Support of Neonatal Patients at Risk for Necrotizing Enterocolitis 
  9. 2012 Clinical Guidelines for the Use of Parenteral and Enteral Nutrition in Adult and Pediatric Patients: Applying the GRADE System to Development of ASPEN Clinical Guidelines  
  10. 2012 ASPEN Clinical Guidelines: Hyperglycemia and Hypoglycemia in the Neonate Receiving Parenteral Nutrition  
  11. 2011 Nutrition Screening, Assessment, and Intervention in Adult
  12. 2010 Nutrition Support in Adult Acute and Chronic Renal Failure
  13. 2010 Nutrition Support of Neonates Supported with Extracorporeal Membrane Oxygenation  
  14. 2010 Nutrition Support of Hospitalized Pediatric Patients with Obesity
  15. 2009 Nutrition Support of Children with Human Immunodeficiency Virus Infection  
  16. 2009 Clinical Guidelines Introduction  
  17. 2009 Nutrition Support Therapy During Adult Anticancer Treatment and in Hematopoietic Cell Transplantation
  18. 2009 Nutrition Support of the Critically Ill Child
  19. 2009 Adult Critical Care- In collaboration with the Society of Critical Care Medicine (SCCM) 
    1. Preliminary Remarks and Introduction
    2. Section A - Initiate Enteral Feeding
    3. Section B - When to Use Parenteral Nutrition
    4. Section C - Dosing of Enteral Feeding 
    5. Section D - Monitoring Tolerance and Adequacy of Enteral Nutrition
    6. Section E - Selection of Appropriate Enteral Formulation 
    7. Section F - Adjunctive Therapy 
    8. Section G - When Indicated, Maximize Efficacy of Parenteral Nutrition 
    9. Section H - Pulmonary Failure 
    10. Section I - Renal Failure
    11. Section J - Hepatic Failure 
    12. Section K - Acute Pancreatitis 
    13. Section L - Nutrition Therapy in End-of-Life Situations 
  20. 2009 Enteral Nutrition Practice Recommendations - [Endorsed by the American Dietetic Association (ADA), the American Society of Health-System Pharmacists (ASHP) and the Institute for Safe Medication Practices (ISMP)]
    1. Section I - Introduction & Glossary of Terms 
    2. Section II - Ordering and Labeling of Enteral Nutrition 
    3. Section III - Enteral Formula (Medical Foods) and Infant Formula Regulation
    4. Section IV - Water and Enteral Safety and Stability  
    5. Section V - Enteral Access  
    6. Section VI - Enteral Nutrition Administration
    7. Section VII - Medication Administration 
    8. Section VIII - Monitoring Enteral Nutrition Administration
    9. Section IX - Summary 
    10. Clarification
  21. 2004 Safe Practices for Parenteral Nutrition - [Endorsed by the American Society of Health-System Pharmacists (ASHP)]
    1. Errata
  22. 2002 Guidelines [Please refer to newer Clinical Guidelines above]: ASPEN Board of Directors and the Clinical Guidelines Task Force. Guidelines for the use of parenteral and enteral nutrition in adult and pediatric patients. JPEN J Parenter Enteral Nutr. 2002; 26 (1, Suppl. ): 1SA-138SA.