The heterogeneous case mix of patients in many uk critical care units provides different challenges when trying to establish nutritional support choice of nutritional components and delivery depends on patient factors and their disease early vs late support it is established practice to start enteral nutrition soon after admission and a number of studies would support that strategy. As the philosophy around nutrition shifts from a supportive to a more therapeutic focus the critical care team must use a coordinated approach to formulate decisions around nutrition support in order to provide adequate energy and protein while avoiding the complications associated with nutrition support 13 practice guidelines provide clinicians with the best research evidence for maximizing the effectiveness of nutrition interventions 7 10 published guidelines can be used to develop . Recommendations for nutrition in critically ill patients are supported by observational st critical illness predisposes individuals to highly variable metabolic and immune responses leading to muscle mass loss impaired healing immobility and susceptibility to infections and cognitive impairment. Request pdf nutritional support in critical care despite the key role of nutrition in health and the almost universal use of supplemental feeding in the icu there is a lack of high quality
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