title: Nutrition in intensive care in adults review of the literature and development of evidence based feeding protocols.
abstract: The subject of nutrition in intensive care is broad.Thenutrition support therapy plays a crucial role in the management of critically ill patients. This review was carried out to address the existing controversies and to recognise the current practice guidelines for the management of nutrition in intensive care units (ICUs) in adults. A PubMed search was carried out for clinical trials addressing the current nutrition practice in ICUs, recommendations for calculating energy requirements and efficacy of an algorithmic approach to nutritional delivery in an ICU setting. Algorithms were developed and modified for the practice of nutrition in an adult ICU in a quaternary care hospital in Pakistan.
authors.affiliation: Clinical Dietitian Intensive Care Unit, Department of Nutrition and Food Services, Karachi.
authors.forename: Sarah
authors.initials: S
authors.lastname: Ikram
authors.affiliation: Adult Critical Care Services, Section of Pulmonary and Critical Care Medicine, Department of Medicine, Karachi.
authors.forename: Erfan
authors.initials: E
authors.lastname: Hussain
authors.affiliation: Pulmonary and Critical Care Medicine, Department of Medicine, Aga Khan University Hospital, Karachi.
authors.forename: Ali Bin
authors.initials: AB
authors.lastname: Sarwar Zubairi
mesh_terms: D000328:Adult; D003422:Critical Care; D016638:Critical Illness; D004750:Enteral Nutrition; D006801:Humans; D007362:Intensive Care Units; D009752:Nutritional Status; D010154:Pakistan
keywords:  Intensive care unit, Enteral nutrition, Parenteral nutrition, Ideal body weight, Body mass index, Gastric residual volume.
  