Metabolic and nutritional support of critically ill patients: consensus and controversies.
Abstract
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.
Type
Journal articleSubject
ConsensusCritical Illness
Dietary Proteins
Energy Intake
Enteral Nutrition
Humans
Parenteral Nutrition
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https://hdl.handle.net/10161/12989Published Version (Please cite this version)
10.1186/s13054-015-0737-8Publication Info
Preiser, Jean-Charles; van Zanten, Arthur RH; Berger, Mette M; Biolo, Gianni; Casaer,
Michael P; Doig, Gordon S; ... Vincent, Jean-Louis (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 https://hdl.handle.net/10161/12989.This is constructed from limited available data and may be imprecise. To cite this
article, please review & use the official citation provided by the journal.
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Show full item recordScholars@Duke
Paul Edmund Wischmeyer
Professor of Anesthesiology
Paul Wischmeyer M.D., EDIC, FASPEN, FCCM is a critical care, perioperative, and nutrition
physician-researcher who specializes in enhancing preparation and recovery from surgery,
critical care and COVID-19. He serves as a Tenured Professor of Anesthesiology and
Surgery at Duke. He also serves as the Associate Vice Chair for Clinical Research
in the Dept. of Anesthesiology and Director of the TPN/Nutrition Team at Duke. Dr.
Wischmeyer earned his medical degree with honors at T

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