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Nutritional support in critical care

Lookup NU author(s): Dr Simon Baudouin

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Abstract

Most critically ill patients receive some form of nutritional support during their stay in the ICU. Attempts to maintain adequate body weight and composition in the severely ill are complicated by a marked hypercatabolic response, which inevitably leads to protein loss. An evidence-based approach to ICU nutrition provides some guidance on optimal routes of feeding, feed composition, and the use of prokinetics. Recent clinical trials of immunonutrients, growth hormone, and insulin also inform the debate on best nutritional practice in the ICU. Despite several studies, many of the key issues in ICU feeding remain controversial and a pragmatic approach to nutrition is often required in practice.


Publication metadata

Author(s): Baudouin SV; Evans TW

Publication type: Article

Publication status: Published

Journal: Clinics in Chest Medicine

Year: 2003

Volume: 24

Issue: 4

Pages: 633-644

ISSN (print): 0272-5231

ISSN (electronic): 1557-8216

Publisher: WB Saunders Co.

URL: http://dx.doi.org/10.1016/S0272-5231(03)00101-1

DOI: 10.1016/S0272-5231(03)00101-1


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