Feeding the critically ill patient

Stephen A. McClave, Robert Martindale, Todd W. Rice, Daren K. Heyland

Research output: Contribution to journalArticle

74 Citations (Scopus)

Abstract

Objective: Critically ill patients are usually unable to maintain adequate volitional intake to meet their metabolic demands. As such, provision of nutrition is part of the medical care of these patients. This review provides detail and interpretation of current data on specialized nutrition therapy in critically ill patients, with focus on recently published studies. Data Sources: The authors used literature searches, personal contact with critical care nutrition experts, and knowledge of unpublished data for this review. Study Selection: Published and unpublished nutrition studies, consisting of observational and randomized controlled trials, are reviewed. Data Extraction: The authors used consensus to summarize the evidence behind specialized nutrition. Data Synthesis: In addition, the authors provide recommendations for nutritional care of the critically ill patient. Conclusions: Current evidence suggests that enteral nutrition, started as soon as possible after acute resuscitative efforts, may serve therapeutic roles beyond providing calories and protein. Although many new studies have further advanced our knowledge in this area, the appropriate level of standardization has not yet been achieved for nutrition therapy, as it has in other areas of critical care. Protocolized nutrition therapy should be modified for each institution based on available expertise, local barriers, and existing culture in the ICU to optimize evidencebased nutrition care for each critically ill patient.

Original languageEnglish (US)
Pages (from-to)2600-2610
Number of pages11
JournalCritical Care Medicine
Volume42
Issue number12
DOIs
StatePublished - 2014

Fingerprint

Nutrition Therapy
Critical Illness
Critical Care
Information Storage and Retrieval
Enteral Nutrition
Observational Studies
Patient Care
Randomized Controlled Trials
Proteins
Therapeutics

Keywords

  • Critically ill patient
  • Enteral nutrition
  • Parenteral nutrition
  • Stress metabolism

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine
  • Medicine(all)

Cite this

Feeding the critically ill patient. / McClave, Stephen A.; Martindale, Robert; Rice, Todd W.; Heyland, Daren K.

In: Critical Care Medicine, Vol. 42, No. 12, 2014, p. 2600-2610.

Research output: Contribution to journalArticle

McClave, SA, Martindale, R, Rice, TW & Heyland, DK 2014, 'Feeding the critically ill patient', Critical Care Medicine, vol. 42, no. 12, pp. 2600-2610. https://doi.org/10.1097/CCM.0000000000000654
McClave, Stephen A. ; Martindale, Robert ; Rice, Todd W. ; Heyland, Daren K. / Feeding the critically ill patient. In: Critical Care Medicine. 2014 ; Vol. 42, No. 12. pp. 2600-2610.
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