Title |
Metabolic and nutritional support of critically ill patients: consensus and controversies
|
---|---|
Published in |
Critical Care, December 2015
|
DOI | 10.1186/s13054-015-0737-8 |
Pubmed ID | |
Authors |
Jean-Charles Preiser, Arthur RH van Zanten, Mette M Berger, Gianni Biolo, Michael P Casaer, Gordon S Doig, Richard D Griffiths, Daren K Heyland, Michael Hiesmayr, Gaetano Iapichino, Alessandro Laviano, Claude Pichard, Pierre Singer, Greet Van den Berghe, Jan Wernerman, Paul Wischmeyer, Jean-Louis Vincent |
Abstract |
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. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 9 | 14% |
United States | 6 | 10% |
Mexico | 4 | 6% |
Spain | 3 | 5% |
France | 2 | 3% |
Australia | 2 | 3% |
South Africa | 1 | 2% |
New Zealand | 1 | 2% |
Canada | 1 | 2% |
Other | 7 | 11% |
Unknown | 27 | 43% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 35 | 56% |
Practitioners (doctors, other healthcare professionals) | 19 | 30% |
Scientists | 6 | 10% |
Science communicators (journalists, bloggers, editors) | 3 | 5% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Mexico | 2 | <1% |
Switzerland | 1 | <1% |
Netherlands | 1 | <1% |
Italy | 1 | <1% |
Colombia | 1 | <1% |
New Zealand | 1 | <1% |
Brazil | 1 | <1% |
Denmark | 1 | <1% |
Japan | 1 | <1% |
Other | 0 | 0% |
Unknown | 691 | 99% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 108 | 15% |
Student > Bachelor | 85 | 12% |
Student > Postgraduate | 82 | 12% |
Other | 68 | 10% |
Researcher | 66 | 9% |
Other | 139 | 20% |
Unknown | 153 | 22% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 308 | 44% |
Nursing and Health Professions | 109 | 16% |
Agricultural and Biological Sciences | 25 | 4% |
Biochemistry, Genetics and Molecular Biology | 16 | 2% |
Pharmacology, Toxicology and Pharmaceutical Science | 11 | 2% |
Other | 60 | 9% |
Unknown | 172 | 25% |