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- Jean-Charles Preiser, Arthur R H van Zanten, Mette M Berger, Gianni Biolo, Michael P Casaer, Gordon S Doig, Richard D Griffiths, Daren K Heyland, Michael Hiesmayr, Gaetano Iapichino, Alessandro Laviano, Claude Pichard, Pierre Singer, Greet Van den Berghe, Jan Wernerman, Paul Wischmeyer, and Jean-Louis Vincent.
- Department of Intensive Care, Erasme University Hospital, Université Libre de Bruxelles, 808 route de Lennik, Brussels, 1070, Belgium. Jean-Charles.Preiser@erasme.ulb.ac.be.
- Crit Care. 2015 Jan 1;19:35.
AbstractThe results of recent large-scale clinical trials have led us to review our understanding of the metabolic response to stress and the most appropriate means of managing nutrition in critically ill patients. This review presents an update in this field, identifying and discussing a number of areas for which consensus has been reached and others where controversy remains and presenting areas for future research. We discuss optimal calorie and protein intake, the incidence and management of re-feeding syndrome, the role of gastric residual volume monitoring, the place of supplemental parenteral nutrition when enteral feeding is deemed insufficient, the role of indirect calorimetry, and potential indications for several pharmaconutrients.
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