Now days, the use of specialized nutrition support has become a standard tool in the care of patients. With the development of specialized nutrition support, an interdisciplinary approach was essential to archive a goal. Fortunately, Nutritional support team (NST) consultation fee has been reimbursed under the national health insurance system since 2014. Overall, it might be true that there has been some progress in the NST’s activities. However, it is still questionable whether there was a positive effect in terms of quality or cost effectiveness compared to quantitative improvements. Before taking into consideration of the future of NST, we are going to look at the status of nutritional support practice and utility of NST in Korea. Upon this background, we hope to make constructive suggestions for a better future of NST.

Careful nutritional strategy is an essential component in the management of critically ill patients. Evidence-based clinical practice guidelines can be an effective solution to improving the process and structure of nutritional strategy for critically ill patients. The 2015 Canadian clinical practice guidelines (CPGs) summarized the evidence from approximately 354 randomized controlled trials in the area of critical care nutrition since 1980. The Canadian CPGs were first developed in 2003 and have been updated every 2 years. It is important for the acquisition of new evidence-based knowledge. This paper includes a brief summary on changes in 2015 CPGs compared with 2013 CPGs.