Critical Care

official impact factor 4.60

Review

Nutrition in the intensive care unit

Charles Weissman

Author Affiliations

Department of Anesthesiology and Critical Care Medicine, Hebrew University -Hadassah, School of Medicine, Jerusalem, Israel

Critical Care 1999, 3:R67-R75 doi:10.1186/cc360

Published: 17 September 1999

Abstract

Nutritional support has become a routine part of the care of the critically ill patient. It is an adjunctive therapy, the main goal of which is to attenuate the development of malnutrition, yet the effectiveness of nutritional support is often thwarted by an underlying hostile metabolic milieu. This requires that these metabolic changes be taken into consideration when designing nutritional regimens for such patients. There is also a need to conduct large, multi-center studies to acquire more knowledge of the cost-benefit and cost effectiveness of nutritional support in the critically ill.

Keywords:
enteral nutrition; glucose; intensive care; metabolism; parenteral nutrition