Upvote Story 8

Feeding Should be Individualized in the Critically Ill Patients

Feeding Should be Individualized in the Critically Ill Patients

Although energy expenditure can now be measured, we miss indicators of early endogenous energy production and of protein needs. A pragmatic ramping up of extrinsic energy provision by nutrition support reduces the risk of overfeeding-related adverse effects.

Both underfeeding and overfeeding generate complications and should be prevented.

The long forgotten endogenous energy production, maximal during the first 3 to 4 days, should be integrated in the nutrition plan, through a slow progression of feeding, as full feeding may result in early overfeeding.

Accurate and repeated indirect calorimetry is becoming possible thanks to the recent development of a reliable, easy to use and affordable indirect calorimeter.

CriticalCare.news
October 7, 2019

Leave Your Comment