ACP Journal Club: in critically ill adults, supplemental parenteral nutrition reduced nosocomial infections.

Commentary Critical care providers regularly face decisions regarding timing, dose, formulation, and route of nutrition in heterogeneous critically ill patients. Early enteral feeding individualized to patient energy needs is recommended (1). However, many ICUs do not routinely use indirect calorimetry, and estimates of energy needs may not be met in a subset of patients, particularly those with more severe illness.