What question did this study set out to answer?

To review the evolving metabolic needs of critically ill patients and outline optimal calorie and protein delivery strategies from acute critical illness through long-term recovery.

December 1, 2017SHILAP Revista de lepidopterologíaOpen Access

Tailoring nutrition therapy to illness and recovery

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Authors

PWPaul E. WischmeyerDuke University

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Implication

Clinical review demonstrates phased nutrition strategies in critically ill patients, indicating that tailored calorie and high protein delivery are essential to preserve lean body mass.

Key Points

To review the evolving metabolic needs of critically ill patients and outline optimal calorie and protein delivery strategies from acute critical illness through long-term recovery.
Synthesized contemporary intensive care unit (ICU) clinical nutrition evidence alongside historic starvation paradigms, notably the 1945 Minnesota Starvation Study.
Evaluated metabolic alterations, endogenous energy generation, and lean body mass (LBM) depletion across the acute, post-resuscitation, and chronic recovery phases.
Early acute critical illness features substantial endogenous energy generation, supporting early trophic feeding with moderated nonprotein calories and adequate protein and micronutrient repletion in well-nourished patients.
Post-resuscitation and long-term recovery phases require increased protein intake (1.5–2.0 g/kg/day) and caloric support, extending months or years with high-protein oral supplements to restore lost lean body mass.

Cite This Study

Paul E. Wischmeyer (2017) studied this question.

synapsesocial.com/papers/69dd4ed8fb7610310c101f2e https://doi.org/10.1186/s13054-017-1906-8

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Implication

Clinical review demonstrates phased nutrition strategies in critically ill patients, indicating that tailored calorie and high protein delivery are essential to preserve lean body mass.

Tailoring nutrition therapy to illness and recovery

Discussion

Member takes

Implication

Key Points

Cite This Study

Tailoring nutrition therapy to illness and recovery

Discussion

Member takes

Implication

Key Points

Cite This Study

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