Critical Care

official impact factor 4.60

Commentary

Too much of a good thing: the curse of overfeeding

Richard D Griffiths

Author Affiliations

Division of Metabolic & Cellular Medicine, School of Clinical Sciences, University of Liverpool, Liverpool, L69 3GA, UK

Critical Care 2007, 11:176 doi:10.1186/cc6165

Published: 9 November 2007

Abstract

Enteral nutrition (EN) gives a legacy of under nutrition in intensive care patients but few appreciate that parenteral nutrition (PN) carries the other risk of overfeeding if used injudiciously. Over-feeding presents a significant metabolic stress but tight glycaemic control is now masking the traditional warning signs and does not on its own negate the need to give patients the right amount at the right time.