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A Practical Approach to Feeding Intensive Care Patients

  • P. Jolliet
  • C. Pichard
Part of the Update in Intensive Care Medicine book series (volume 34)

Abstract

The conjunction of prolonged survival of critically ill patients and increased prevalence of malnutrition prior to hospitalization [1] represents a challenge to the ICU physician, faced with the difficult task of reconciling apparently opposed goals while trying to provide the best nutritional support to his patient [2, 3, 4]. Many nutritional issues still remain the subject of ongoing controversies [5, 6, 7, 8], many of which are discussed in detail in other chapters of this book. These controversies notwithstanding, adequate nutritional support instituted early in the course of severe critical illness is regarded as an integral part of proper patient management [2]. To that end, various practical aspects must be considered, and it is the purpose of this chapter to provide the reader with such basic information derived from the published litterature and the authors’ experience [4, 9, 10]. In that perspective and with focus on practical issues, enteral and parenteral nutrition will first be considered independently, then their possible combined uses will be discussed. No attempt is made to review in depth all such issues, but emphasis will be placed on those most often referred to by ICU physicians in daily practice.

Keywords

Parenteral Nutrition Enteral Nutrition Nutritional Support Enteral Feeding Intensive Care Patient 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2002

Authors and Affiliations

  • P. Jolliet
    • 1
  • C. Pichard
    • 2
  1. 1.Soins Intensifs de MédecineHôpital Cantonal UniversitaireGenevaSwitzerland
  2. 2.Department of Clinical NutritionUniversity HospitalGenevaSwitzerland

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