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Metabolic and nutritional support of critically ill patients: consensus and controversies.

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Date
2015-01-29
Authors
Preiser, Jean-Charles
van Zanten, Arthur RH
Berger, Mette M
Biolo, Gianni
Casaer, Michael P
Doig, Gordon S
Griffiths, Richard D
Heyland, Daren K
Hiesmayr, Michael
Iapichino, Gaetano
Laviano, Alessandro
Pichard, Claude
Singer, Pierre
Van den Berghe, Greet
Wernerman, Jan
Wischmeyer, Paul
Vincent, Jean-Louis
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(17 total)
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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 article
Subject
Consensus
Critical Illness
Dietary Proteins
Energy Intake
Enteral Nutrition
Humans
Parenteral Nutrition
Permalink
https://hdl.handle.net/10161/12989
Published Version (Please cite this version)
10.1186/s13054-015-0737-8
Publication 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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Scholars@Duke

Wischmeyer

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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