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Enteral nutrition in intensive care patients: a practical approach.

Philippe Jolliet 1 Claude Pichard 2 Gianni Biolo 3 René Chioléro 4 George Grimble 5 Xavier Leverve 6 Gérard Nitenberg 7 Ivan Novak 8 Mercèdes Planas 9 Jean-Charles Preiser 10 Erich Roth 11 Annemie M. Schols Jan Wernerman 12
1 Medical Intensive Care Unit
2 Department of Clinical Nutrition
3 Istituto di Clinico Medica
4 Service de médecine intensive adulte
5 Roehampton Institute London
6 LBFA - Laboratoire de bioénergétique fondamentale et appliquée
7 DARPI - Département d'anesthésie, réanimation et pathologie infectieuse
8 Charles University Hospital
9 Intensive Care Unit
10 Service de réanimation
11 Division of Surgical Research
12 Department of Anesthesiology and Intensive Care Medicine
Abstract : Severe protein-calorie malnutrition is a major problem in many intensive care (ICU) patients, due to the increased catabolic state often associated with acute severe illness and the frequent presence of prior chronic wasting conditions. Nutritional support is thus an important part of these patient's management. Over the years, enteral nutrition (EN) has gained considerable popularity, due to its favorable effects on the digestive tract and its lower cost and rate of complications compared to parenteral nutrition. However, clinicians caring for ICU patients are often faced with contradictory data and difficult decision-making when having to determine the optimal timing and modalities of EN administration, estimation of patient requirements and choice of formulas. The purpose of this paper is to provide practical guidelines on these various aspects of enteral nutritional support, based on presently available evidence.
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https://www.hal.inserm.fr/inserm-00390052
Contributor : Sarah Hamant <>
Submitted on : Saturday, June 6, 2009 - 11:58:34 AM
Last modification on : Thursday, November 19, 2020 - 3:52:36 PM

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Philippe Jolliet, Claude Pichard, Gianni Biolo, René Chioléro, George Grimble, et al.. Enteral nutrition in intensive care patients: a practical approach.. Clinical Nutrition, Elsevier, 1999, 18 (1), pp.47-56. ⟨10.1054/clnu.1998.0001⟩. ⟨inserm-00390052⟩

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