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1397-1399. 2012 Clinical Guidelines for the Use of Parenteral and Enteral Nutrition in Adult and Pediatric Patients: Applying the GRADE System to Development of The American Society for Parenteral and Enteral Nutrition defines standards as benchmarks published ASPEN Clinical Guidelines, Standards, Position.Guidelines for the use of parenteral and enteral nutrition in adult and pediatric patients. Page 9. Page 10. Practice Guidelines and. Recommendations.