Nutrition in intensive care

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Nutrition in intensive care

Nutritional support has now come to be recognized as sine qua non in management of critically ill.[1] It has gained importance with better understanding of the pathophysiology of protein energy malnutrition (PEM) in intensive care unit (ICU) patients and optimal modalities in administration of nutritional therapy.[2,3] Its status has changed from being adjunct in critical care to that of defini...

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Parenteral nutrition in adult intensive care.

A healthy person deprived of food will starve to death in approximately 2 months; severe trauma or major surgery reduce that time to about one month. A loss of more than about 12% of total body nitrogen or ofmore than 33% ofbody weight is generally fatal. Lesser degrees of protein/calorie malnutrition, via respiratory muscle weakness, reduced hypoxic drive and decreased tissue oxygenation, cont...

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Nutrition in the intensive care unit

Nutritional support has become a routine part of the care of the critically ill patient. It is an adjunctive therapy, the main goal of which is to attenuate the development of malnutrition, yet the effectiveness of nutritional support is often thwarted by an underlying hostile metabolic milieu. This requires that these metabolic changes be taken into consideration when designing nutritional reg...

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ESPEN Guidelines on Parenteral Nutrition: intensive care.

Nutritional support in the intensive care setting represents a challenge but it is fortunate that its delivery and monitoring can be followed closely. Enteral feeding guidelines have shown the evidence in favor of early delivery and the efficacy of use of the gastrointestinal tract. Parenteral nutrition (PN) represents an alternative or additional approach when other routes are not succeeding (...

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Intensive care unit nutrition – nonsense or neglect?

Systematic undernutrition of intensive care unit patients is common and neglected. Is this inevitable or can better routines and protocols make a difference? The necessity of feeding may be regarded as self-evident, but more evidence is obviously needed to strengthen this issue. In rich countries it should be a human right not to be hungry.

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ژورنال

عنوان ژورنال: Journal of Anaesthesiology Clinical Pharmacology

سال: 2012

ISSN: 0970-9185

DOI: 10.4103/0970-9185.92401