Organ support & nutrition

The Japanese Critical Care Nutrition Guideline 2024

J Intensive CarePublished Clinical practice guideline

An erratum to this article was published (J Intensive Care, 28 Feb 2026 ↗)

Methodological detailsGRADE, modified Delphi consensus
  • GRADE
  • Modified Delphi consensus

Recommendations

As issued by the authors

  1. Strong

    Adults: early enteral nutrition (EN) within 48 h

  2. Strong

    Adults: provision of pre/synbiotics

  3. Weak

    Adults: use of a nutrition protocol

  4. Weak

    Adults: EN rather than parenteral nutrition

  5. Weak

    Adults: higher protein doses

  6. Weak

    Adults: post-pyloric EN

  7. Weak

    Adults: continuous EN

  8. Weak

    Adults: omega-3 fatty acid-enriched EN

  9. Weak

    Adults: provision of probiotics

  10. Weak

    Adults: indirect calorimetry use

  11. Weak

    Children: early EN within 48 h

  12. Weak

    Children: bolus EN

  13. Weak

    Children: energy/protein-dense EN formulas

  14. GPS

    Adults and children: nutritional assessment

Original publication

The Japanese Critical Care Nutrition Guideline 2024. J Intensive Care. Published 21 March 2025. doi:10.1186/s40560-025-00785-z

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