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- Title
Less is more in nutrition: critically ill patients are starving but not hungry.
- Authors
Arabi, Yaseen M.; Reintam Blaser, Annika; Preiser, Jean-Charles
- Abstract
Critical illness is associated with a metabolic response that is considered as adaptive and is mediated by increase in sympathetic nervous system activity and release of pituitary hormones and inflammatory mediators [[1]]. However, without modern critical care, most of the ICU patients would not survive; therefore adaptation mechanisms may turn into maladaptation and probably should not just be observed for prolonged time, e.g., prolonged full starvation in patients with prolonged hemodynamic instability is unlikely to be beneficial. Another aspect is related to the heterogeneity of critically ill patient population, in terms of nutritional status, gastrointestinal function, hemodynamic status, and the nature of illness.
- Subjects
ENTERAL feeding; CRITICALLY ill children; CRITICALLY ill; CRITICALLY ill patient care; NUTRITION
- Publication
Intensive Care Medicine, 2019, Vol 45, Issue 11, p1629
- ISSN
0342-4642
- Publication type
editorial
- DOI
10.1007/s00134-019-05765-0