• Clinics in chest medicine · Dec 2003

    Review

    Nutritional support in critical care.

    • Simon V Baudouin and Timothy W Evans.
    • Department of Anaesthesia and Intensive Care Medicine, Royal Victoria Infirmary, Newcastle upon Tyne, NE1 4LP, UK.
    • Clin. Chest Med. 2003 Dec 1; 24 (4): 633-44.

    AbstractDespite 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 immunonutrients remains unproven. Nutritional support cannot completely prevent the adverse effects of catabolic illness and overfeeding should be avoided.

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