[Enteral and/or parenteral nutrition in the critically ill : An algorithm as a possible basis for decision-making].
Taking into account new data and recent clinical controversies regarding nutritional support within the first 7 days of critical illness, early enteral nutrition is recommended. A normocaloric goal of 25 kcal/kg body weight/day should be achieved. In case of inadequate enteral tolerance, parenteral supplementation starting between day 3 and 5 should be selectively restricted to primarily malnourished patients and those with high risk for complications and prolonged stay in the intensive care unit. This can be summarized in a clinical algorithm.
Klinik für Allgemein-, Viszeral- und Onkologische Chirurgie mit Abteilung Klinische Ernährung, Klinikum St. Georg gGmbH Leipzig, Delitzscher Str. 141, 04129, Leipzig, Deutschland. Arved.Weimann@sanktgeorg.de.
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Weimann
D000465:Algorithms; D016638:Critical Illness; D002149:Energy Intake; D004750:Enteral Nutrition; D006801:Humans; D010288:Parenteral Nutrition
Critical illness; Decision aids; Energy intake; Malnutrition; Nutrition therapy