Nutrition in the critically ill surgical patient.

摘要: Purpose of review The aim this study was to discuss recent findings related providing adequate and well tolerated nutrition the critically ill surgical patient. Recent majority nutritional studies in have been performed on nourished patients, but validated scoring systems can now identify high risk patients. Although it remains accepted that early enteral with protein supplementation is key, mechanistic data suggest hypocaloric feeding septic patients may be beneficial. For unable tolerate nutrition, randomized pilot demonstrate improved functional outcomes supplemental parenteral nutrition. Current guidelines also recommend total contraindications When require low or moderate-dose vasopressors, appears based a large database study, while prospective showed worse receiving high-dose vasopressors. Summary evidence suggests consideration achieve goals enterally. Despite established for therapy, paucity support these recommendations illustrates critical need additional studies.