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Type: Journal article
Title: Nutrition support in the critically ill
Author: Huynh, D.
Chapman, M.
Nguyen, Q.
Citation: Current Opinion in Gastroenterology, 2013; 29(2):208-215
Publisher: Lippincott Williams & Wilkins
Issue Date: 2013
ISSN: 0267-1379
Statement of
Dep Huynh, Marianne J. Chapman, and Nam Q. Nguyen
Abstract: PURPOSE OF REVIEW: To highlight the recent developments in nutritional support for critically ill patients. RECENT FINDINGS: Increasing data support the benefits of early initiation of enteral nutrition, with improvements in small intestinal absorption and clinical outcomes. In contrast to the previous belief, recent data suggest caloric administration of greater than 65–70% of daily requirement is associated with poorer clinical outcomes, especially when supplemental parenteral nutrition is used to increase the amount of caloric delivery. The role of supplementary micronutrients and anti-inflammatory lipids has been further evaluated but remains inconclusive, and is not currently recommended. SUMMARY: Together, current findings indicate that intragastric enteral nutrition should be initiated within 24 h of admission to ICU and supplementary parenteral nutrition should be avoided. Future research should aim to clarify the optimal energy delivery for best clinical outcomes, and the role of small intestinal function and its flora in nutritional care and clinical outcomes.
Keywords: clinical outcome
critically ill
enteral nutrition
nutritional support
parenteral nutrition
Rights: Copyright © Lippincott Williams & Wilkins
DOI: 10.1097/MOG.0b013e32835c9c83
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