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Position paper of the ESICM Working Group on Nutrition and Metabolism

Metabolic basis of nutrition in intensive care unit patients: ten critical questions

  • ESICM Working Group
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Intensive Care Medicine Aims and scope Submit manuscript

Abstract

The metabolic changes associated with critical illness involve several pathways acting at different steps of the utilization of nutritive substrates. The understanding of the role of these pathways and of their complex regulation has led to the development of new strategies for the metabolic and nutritional management of critically ill patients, including the development of new products for nutritional support. The rationale for changing the profile of nutritional support solutions by adding novel substrates is also discussed. This review focuses on the metabolic specificities of critically ill patients and also includes an analysis of the adequacy of tools to monitor the metabolic status and the adequacy of the nutritional support.

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Authors and Affiliations

  1. Istituto di Clinico Medica, University of Trieste, Ospedale di Cattinara, 34100 Trieste, Italy, , , , ,

    Gianni Biolo

  2. Roehampton Institute London, Whitelands College, West Hill, London SW15 3SN, UK, , , , ,

    George Grimble

  3. Department of Intensive Care, RHMS Tournai, 80 chaussée de Saint-Amand, 7500 Tournai, Belgium, , , , ,

    Jean-Charles Preiser

  4. Laboratoire de Bioénergetique, Université Joseph Fourier, 38041 Grenoble Cedex 9, France, , , , ,

    Xavier Leverve

  5. Medical Intensive Care Unit, Hopital Cantonal Universitaire, 1211 Geneva 14, Switzerland, , , , ,

    Philippe Jolliet

  6. Intensive Care Unit, Hospital General Vall d'Hebron, Passeig Vall d'Hebron s/n, 08035 Barcelona, Spain, , , , ,

    Mercedes Planas

  7. Chirurgische Universität Klinik, Chirurgische Forschung Laboratorien, Waehringer Guirtel 18–20, 1090 Wien, Austria, , , , ,

    Erich Roth

  8. Department of Anaesthesia and Intensive Care, Huddinge University Hospital, Karolinska Institute, 141 86 Huddinge, Sweden, , , , ,

    Jan Wernerman

  9. Clinical Nutrition, Hopital Cantonal Universitaire, 1211 Geneva 14, Switzerland, , , , ,

    Claude Pichard

Authors
  1. Gianni Biolo
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  2. George Grimble
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  3. Jean-Charles Preiser
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  4. Xavier Leverve
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  5. Philippe Jolliet
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  6. Mercedes Planas
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  7. Erich Roth
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  8. Jan Wernerman
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  9. Claude Pichard
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Biolo, G., Grimble, G., Preiser, JC. et al. Position paper of the ESICM Working Group on Nutrition and Metabolism. Intensive Care Med 28, 1512–1520 (2002). https://doi.org/10.1007/s00134-002-1512-2

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  • DOI: https://doi.org/10.1007/s00134-002-1512-2

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