Nutritional support in critical care

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Nutritional support in critical care.

Despite the key role of nutrition in health and the almost universal use of supplemental feeding in the ICU, there is a lack of high-quality evidence to guide clinical practice. Enteral nutrition is superior to TPN in almost all circumstances and most patients in the ICU can be fed successfully by this route. There is little evidence to support the use of special feeds and the role of immunonut...

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Nutritional support in critical illness.

Critically ill patients, almost by definition, are catabolic and often hypermetabolic. Although it is generally accepted that such patients would benefit from nutritional support, there are remarkably little data to support this premise. Several experts believe that prospective, randomized, controlled studies to document the efficacy of nutrition support in improving outcome in critically ill p...

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nutritional support for trauma patients in intensive care units

background trauma mostly occurs in young patients. trauma is characterized by a combination of cardiovascular, inflammatory, and metabolic responses. hypercatabolism after trauma may lead to acute protein malnutrition that ultimately results in multiple organ failure. nutritional support may prevent this sequence. therefore, nutritional support is an essential component of the care of critical ...

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Extracorporeal Life Support in Critical Care Medicine

W ITH THE INTRODUCTION of intensive care units in the 1960s an environment was established for aggressive patient care. Current technologic achievements continue to improve the means by which this care is provided. Hemodialysis, ventilators, parenteral nutrition, and ventricular assist devices all offer temporary, or occasionally permanent, support for failing organ systems. Extracorporeal circ...

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Evidence-based nutritional support in the intensive care unit.

Over 2 millennia ago ‘‘Hippocrates: Father of Medicine’’ (460? to 377 BC) once said ‘‘If we could give every individual the right amount of nourishment and exercise, not too little and not too much, we would have found the safest way to health.’’ That is true even now with various nutrition surveys in hospitals continue to suggest that upwards of 40% to 50% of patients, particularly those in th...

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ژورنال

عنوان ژورنال: BJA CEPD Reviews

سال: 2001

ISSN: 1472-2615

DOI: 10.1093/bjacepd/1.1.21