For most critically ill patients, a 'starvation diet' seems just fine (TARGET trial)
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Very little evidence guides nutrition in critical illness. Because of critically ill patients' catabolic state, and probably influenced by the normalization fallacy, nutrition practices often include efforts to provide daily calories in the 1,800 - 2,000 range. However, anorexia may be adaptive during illness (since it is common to multiple disease states); greater enterally infused volumes could precipitate gastric aspiration; and excess calories could generate oxidative stress. Randomized trials have suggested that giving
For most critically ill patients, a 'starvation diet' seems just fine (TARGET trial)
For most critically ill patients, a…
For most critically ill patients, a 'starvation diet' seems just fine (TARGET trial)
Very little evidence guides nutrition in critical illness. Because of critically ill patients' catabolic state, and probably influenced by the normalization fallacy, nutrition practices often include efforts to provide daily calories in the 1,800 - 2,000 range. However, anorexia may be adaptive during illness (since it is common to multiple disease states); greater enterally infused volumes could precipitate gastric aspiration; and excess calories could generate oxidative stress. Randomized trials have suggested that giving