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Nutrition in the critically ill.

D J Hehir1, D M Phelan

  • 1Department of Intensive Care Unit, Mater Hospital, Dublin.

Irish Medical Journal
|March 1, 1992
PubMed
Summary
This summary is machine-generated.

Early and simple artificial feeding, preferably enteral, is crucial for critically ill patients. Intravenous nutrition is often needed, requiring careful monitoring of compounded feeds, electrolytes, and essential supplements like zinc and folate.

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Area of Science:

  • Critical Care Medicine
  • Nutritional Support

Background:

  • Artificial feeding is essential for critically ill patients.
  • Early and simple initiation of feeding is recommended.
  • Enteral feeding is preferred when feasible.

Purpose of the Study:

  • To outline optimal strategies for artificial feeding in critically ill patients.
  • To highlight key considerations for nutritional support in critical illness.
  • To emphasize the importance of monitoring and complication awareness.

Main Methods:

  • Administration of compounded feeds via a sterile single lumen subclavian catheter.
  • Careful control of feed volume and electrolyte composition.
  • Supplementation with water-soluble vitamins (including folate) and zinc.

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Main Results:

  • High nitrogen and relatively low caloric intake are often required for stressed patients.
  • Early institution of feeding is associated with better outcomes.
  • Specific nutrient requirements must be tailored to the patient's condition.

Conclusions:

  • Artificial nutrition, particularly enteral, should be initiated promptly and simply.
  • Intravenous nutrition is frequently necessary in critical care settings.
  • Close monitoring and awareness of potential complications are vital for safe practice.