Delivering targeted nutrition to improve outcomes. Over the last 10 years, we are proud of the fact we have finally begun to reduce in-hospital mortality following severe sepsis in some countries worldwide. Further, mortality from acute lung injury has fallen dramatically, as the control group mortality in a recent large Acute Respiratory Distress Syndrome Research Network (ARDSnet) trial was strikingly only 16%. But the fundamental question that must be asked is: Are we winning many battles in our ICUs, but ultimately losing the war?

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