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Best Timing for Energy Provision during Critical Illness

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Annual Update in Intensive Care and Emergency Medicine 2012

Part of the book series: Annual Update in Intensive Care and Emergency Medicine ((AUICEM,volume 2012))

Abstract

Malnutrition is a persistent problem in hospitals and intensive care units (ICUs) worldwide. Critically ill patients quickly develop malnutrition or aggravate a preexisting malnutrition because of the inflammatory response, metabolic stress and bed rest, which all cause catabolism [1, 2]. The persistence of this problem despite existing guidelines, is partly explained by the absence of immediately visible consequences of acute malnutrition: Deleterious consequences are not easily measurable and become obvious only after 7 – 14 days, i.e., frequently after discharge from the ICU. Nevertheless, after a week already, new infections may be attributable to incipient malnutrition [3, 4]. In contrast, the biological consequences of insufficient oxygen delivery are immediate, requiring the ICU team’s rapid attention. This longer time constant between event and consequence is one of the important reasons why nutritional therapy is so frequently forgotten early on, resulting in progression of energy deficits, in turn associated with impaired outcome.

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Authors
  1. M. M. Berger
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  2. C. Pichard
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Editors and Affiliations

  1. Department of Intensive Care Erasme Hospital, Université libre de Bruxelles, Route de Lennik 808, B-1070, Brussels, Belgium

    Jean-Louis Vincent (Head) (Head)

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Berger, M.M., Pichard, C. (2012). Best Timing for Energy Provision during Critical Illness. In: Vincent, JL. (eds) Annual Update in Intensive Care and Emergency Medicine 2012. Annual Update in Intensive Care and Emergency Medicine, vol 2012. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-25716-2_60

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  • DOI: https://doi.org/10.1007/978-3-642-25716-2_60

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-25715-5

  • Online ISBN: 978-3-642-25716-2

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