Protein requirement in critical illness

被引:18
|
作者
Hoffer, Leonard John [1 ]
机构
[1] McGill Univ, Lady Davis Inst Med Res, Jewish Gen Hosp, 3755 Cote Ste Catherine Rd, Montreal, PQ H3T 1E2, Canada
关键词
bias; calories; critical care; critical illness; energy; enteral nutrition; nutritional support; nutrition requirements; parenteral nutrition; protein requirements; SUPPLEMENTAL PARENTERAL-NUTRITION; INTENSIVE-CARE-UNIT; ILL PATIENTS; SUPPORT; ADULTS; PRESERVATION; GUIDELINES; PROVISION; BALANCE; PATIENT;
D O I
10.1139/apnm-2015-0551
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
How much protein do critically ill patients require? For the many decades that nutritional support has been used there was a broad consensus that critically ill patients need much more protein than required for normal health. Now, however, some clinical investigators recommend limiting all macronutrient provision during the early phase of critical illness. How did these conflicting recommendations emerge? Which of them is correct? This review explains the longstanding recommendation for generous protein provision in critical illness, analyzes the clinical trials now being claimed to refute it, and concludes with suggestions for clinical investigation and practice.
引用
收藏
页码:573 / U123
页数:5
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