Enteral Versus Parenteral Feeding: The Avoidance of Systemic Infection in the Critically Ill

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Enteral Versus Parenteral Feeding: The Avoidance of Systemic Infection in the Critically Ill

The critically ill patient very often presents with systemic evidence of infection including tachypnea, tachycardia and hypo-hyperthermia; this may lead to sepsis syndrome and subsequent multisystem organ failure. In order to manage this clinical condition, nutritional supportive therapy is very often required. The choice between enteral and parenteral nutrition is not always straightforward. E...

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Metabolic effects of enteral versus parenteral alanyl-glutamine dipeptide administration in critically ill patients receiving enteral feeding: a pilot study.

BACKGROUND Glutamine (Gln) may become conditionally indispensable during critical illness. The short-term metabolic effects of enteral versus parenteral Gln supplementation are unknown in this clinical setting. OBJECTIVES We studied metabolic effects of intravenous (i.v.) alanyl-Gln dipeptide (AG) supplementation and enteral (e.n.) AG supplementation on plasma Gln concentration, antioxidant s...

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Comparison the inflammatory effects of early supplemental parenteral nutrition plus enteral nutrition versus enteral nutrition alone in critically ill patients

BACKGROUND AND THE PURPOSE OF THE STUDY It is believed that enteral nutrition (EN) support is the preferred route as compared to parenteral nutrition (PN). Critically ill patients on EN receive less than 60% of their metabolic requirements. To meet patients' calorie goal addition of PN to EN was proposed. This study was conducted to determine whether supplemental PN have any difference with EN ...

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Permissive Underfeeding or Standard Enteral Feeding in Critically Ill Adults.

BACKGROUND The appropriate caloric goal for critically ill adults is unclear. We evaluated the effect of restriction of nonprotein calories (permissive underfeeding), as compared with standard enteral feeding, on 90-day mortality among critically ill adults, with maintenance of the full recommended amount of protein in both groups. METHODS At seven centers, we randomly assigned 894 critically...

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Enteral nutrition in the critically ill patient.

Timing and route of nutrition provided to critically ill patients can affect their outcome. Early enteral nutrition has been shown to decrease specifically infectious morbidity in the critically ill patient. There is a small group of patients who are malnourished on arrival to the intensive care unit and in these patients parenteral nutrition is beneficial.

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ژورنال

عنوان ژورنال: Medical Principles and Practice

سال: 1999

ISSN: 1011-7571,1423-0151

DOI: 10.1159/000026074