Nutritional support in critical illness and recovery

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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 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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Myopathies in critical illness: characterization and nutritional aspects.

Myopathies related to critical illness have received increasing recognition over the past decade and are common in patients even after a brief period in the intensive care unit. Recent studies have revealed that myopathies in the critically ill may in fact be more prevalent than neuropathies and that morbidity and mortality may be greater. Protein catabolism, an increase in urinary nitrogen los...

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Nutrition support in critical illness: amino acids.

The general approach to the nutritional care of the catabolic, malnourished or critically ill patient involves delivery of a balanced diet including energy (in the form of carbohydrates and lipids), an adequate amount of nitrogen, all essential nutrients (amino acids, fatty acids, vitamins, electrolytes) and fluid [1]. Traditionally, the qualitative and quantitative composition of dietetic meas...

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Diaries for Recovery From Critical Illness.

Objective
 To assess the effect of a diary versus no diary during a patient's recovery from admission to the intensive care unit (ICU).

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ژورنال

عنوان ژورنال: The Lancet Diabetes & Endocrinology

سال: 2015

ISSN: 2213-8587

DOI: 10.1016/s2213-8587(15)00222-3