Metabolic and nutritional support of critically ill patients: consensus and controversies.
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The 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.
Published Version (Please cite this version)10.1186/s13054-015-0737-8
Publication InfoBerger, MM; Biolo, G; Casaer, MP; Doig, GS; Griffiths, Richard D; Heyland, DK; ... Wischmeyer, Paul Edmund (2015). Metabolic and nutritional support of critically ill patients: consensus and controversies. Crit Care, 19. pp. 35. 10.1186/s13054-015-0737-8. Retrieved from http://hdl.handle.net/10161/12989.
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Professor of Anesthesiology
Paul Wischmeyer M.D. is a Perioperative physician who specializes in enhancing preparation and recovery from surgery and critical care. Specifically, at Duke he practices on the Critical Care and Nutrition clinical teams. He serves as the Director of Perioperative Research for the Duke Clinical Research Institute and Associate Vice Chair for Clinical Research in the Dept. of Anesthesiology. He also serves as the Director of the Nutrition Support Team at Duke. Dr. Wischmeyer e