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Metabolic and nutritional support of critically ill patients: consensus and controversies.
Preiser, Jean-Charles; van Zanten, Arthur R H; 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.
Afiliação
  • Preiser JC; 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.
  • van Zanten AR; Department of Intensive Care, Gelderse Vallei Hospital, Willy Brandtlaan 10, Ede, Gld 6716RP, The Netherlands. ZantenA@zgv.nl.
  • Berger MM; Service de Médecine Intensive Adulte et Brûlés, CHUV BH 08.612, Lausanne, CH 1011, Switzerland. mette.berger@chuv.ch.
  • Biolo G; Department of Medical, Surgical and Health Sciences, Clinica Medica AOUTS, University of Trieste, via Farneto 3, Trieste, 34142, Italy. Biolo@units.it.
  • Casaer MP; Department and Laboratory of Intensive Care Medicine, University Hospitals Leuven (UZ Leuven), Herestraat 49, Leuven, B-3000, Belgium. michael.casaer@uz.kuleuven.ac.be.
  • Doig GS; Northern Clinical School Intensive Care Research Unit, University of Sydney, Reserve Road, St Leonards, NSW, 2065, Australia. gdoig@med.usyd.edu.au.
  • Griffiths RD; Department of Medicine, University of Liverpool, Liverpool, Merseyside, L69 3BX, UK. rdg@liverpool.ac.uk.
  • Heyland DK; Clinical Evaluation Research Unit, Kingston General Hospital, Kingston, ON, K7L 2 V7, Canada. dkh2@queensu.ca.
  • Hiesmayr M; Division of Cardiac-Thoracic-Vascular Anesthesia and Intensive Care, Medical University Vienna, Spitalgasse 23, Wien, 1090, Austria. michael.hiesmayr@meduniwien.ac.at.
  • Iapichino G; Department of Anesthesiology and Intensive Care, Universita' degli Studi di Milano, via Di Rudini' 8, Milano, 20142, Italy. g.iapichino@unimi.it.
  • Laviano A; Department of Clinical Medicine, Sapienza University, Piazzale Aldo Moro 5, Roma, 00185, Italy. alessandro.laviano@uniroma1.it.
  • Pichard C; Department of Nutrition, Geneva University Hospital, Rue Gabrielle-Perret-Gentil 4, Geneva, 1211, Switzerland. claude.pichard@unige.ch.
  • Singer P; Department of Intensive Care, Beilison Hospital, Petah Tikva, 49100, Israel. psinger@clalit.org.il.
  • Van den Berghe G; Department and Laboratory of Intensive Care Medicine, University Hospitals Leuven (UZ Leuven), Herestraat 49, Leuven, B-3000, Belgium. greet.vandenberghe@med.kuleuven.be.
  • Wernerman J; Department of Anesthesiology & Intensive Care Medicine, Karolinska University Hospital, Huddinge, Stockholm, 141 86, Sweden. jan.wernerman@karolinska.se.
  • Wischmeyer P; Department of Anesthesiology, University of Colorado School of Medicine, 12700 E. 19th Ave, Box 8602, Aurora, CO, RC2 P15-7120, USA. Paul.Wischmeyer@ucdenver.edu.
  • Vincent JL; Department of Intensive Care, Erasme University Hospital, Université Libre de Bruxelles, 808 route de Lennik, Brussels, 1070, Belgium. jlvincen@ulb.ac.be.
Crit Care ; 19: 35, 2015 Jan 29.
Article em En | MEDLINE | ID: mdl-25886997
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.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Ingestão de Energia / Estado Terminal / Nutrição Enteral / Nutrição Parenteral Tipo de estudo: Guideline Limite: Humans Idioma: En Ano de publicação: 2015 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Ingestão de Energia / Estado Terminal / Nutrição Enteral / Nutrição Parenteral Tipo de estudo: Guideline Limite: Humans Idioma: En Ano de publicação: 2015 Tipo de documento: Article