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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3564561/
Jan 11, 2013 · Currently, enteral feeding is the method of choice for the nutritional support of critically ill patients, and it can be supplemented with parenteral nutrition if the nutritional needs cannot be completely met, leaving parenteral nutrition for very specific cases or for cases where an effective access is impossible.Cited by: 31
https://www.nutritioncare.org/Guidelines_and_Clinical_Resources/EN_Pathway/Enteral_Nutrition_Care_Pathway_for_Critically-Ill_Adult_Patients/
Enteral Nutrition Care Pathway for Critically-Ill Adult Patients. This ASPEN pathway provides steps and resources for managing critically-ill adult patients requiring enteral nutrition (EN), starting at needs assessment through transition out of the ICU. Click on …
https://journal.chestnet.org/article/S0012-3692(16)54035-5/fulltext
Enteral nutrition was held for low residuals in 12 patients (23%). There was poor disease specific nutrition supplementation, as 19% received glutamine supplementation and 11% received anti-inflammatory lipid supplementation. CONCLUSIONS: The study showed increasing recognition of the importance of nutrition in critically ill patients.Cited by: 1
https://www.nutritioncare.org/Guidelines_and_Clinical_Resources/Clinical_Guidelines/
[Please refer to newer 2016 Clinical Guidelines above] Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (ASPEN) JPEN 2009, Vol 33, Issue 3, …
https://pulmccm.org/review-articles/provide-nutrition-critically-ill-patients-review/
Enteral nutrition within 48 hours in critically ill patients might reduce the risk of hospital-acquired infection (nosocomial infection), compared to providing no nutrition or delaying enteral nutrition. This conclusion comes from a meta-analysis of 15 randomized trials showing an approximately 50% reduced risk for infection among those receiving early enteral nutrition.
https://www.nursingtimes.net/clinical-archive/nutrition/giving-nutrition-support-to-critically-ill-adults-16-03-2015/
Mar 16, 2015 · Although patients’ requirements for protein increase when they are critically ill, guidelines suggest there is little benefit in giving any more than 1.25g/kg/day of protein via enteral feed (Forsyth, 2011); as such, a 70kg patient would be given approximately 87g protein per day.
https://onlinelibrary.wiley.com/doi/full/10.1177/0148607115621863
Traditionally, nutrition support in the critically ill population was regarded as adjunctive care designed to provide exogenous fuels to preserve lean body mass and support the patient throughout the stress response.Cited by: 2096
https://www.nejm.org/doi/full/10.1056/NEJMra1304623
In a large, randomized, controlled trial — the Impact of Early Parenteral Nutrition Completing Enteral Nutrition in Adult Critically Ill Patients (EPaNIC) trial14 — patients in the two groups received tight glucose control (target blood glucose level, 80 to 110 mg per deciliter [4.4 to 6.1 mmol per liter])...Cited by: 250
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4851818/
Apr 29, 2016 · Enteral nutrition (EN) is recommended as the preferred route for early nutrition therapy in critically ill adults over parenteral nutrition (PN). A recent large randomized controlled trial (RCT) showed no outcome differences between the two routes.Cited by: 119
https://www.uptodate.com/contents/nutrition-support-in-critically-ill-patients-parenteral-nutrition
The indications and contraindications for parenteral nutrition are described elsewhere. (See "Nutrition support in critically ill patients: An overview", section on 'Patient selection'.) INITIATION. In order to initiate parenteral nutrition, appropriate access must be obtained and the prescription (ie, composition and infusion rate) must be determined.
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