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Supportive Care Considerations and Nutrition Support for Critically Ill Cancer Patients

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Oncologic Critical Care

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Abstract

Protein-calorie malnutrition is frequently observed in elderly cancer patients admitted to the intensive care unit (ICU). The use of nutrition support in these patients is dictated through nutritional assessment and utilization of an available feeding access device, whether enteral or parenteral. Provision of hypocaloric regimens less than 20 kcal/kg/day with at least 1.2 g protein/kg/day is recommended in the 1st week of ICU care. Complications observed in the ICU cancer patient receiving nutrition support are primarily related to their underlying degree of malnutrition and comorbidities. The identification and management of hyperglycemia, electrolyte abnormalities, and vitamin deficiencies associated with refeeding syndrome in this ICU cancer population is of utmost importance.

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Author information

Authors and Affiliations

  1. Critical Care/Nutrition Support, University of Texas MD Anderson Cancer Center, Houston, TX, USA

    Anne M. Tucker, Jacob W. Hall, Christine A. Mowatt-Larssen & Todd W. Canada

Authors
  1. Anne M. Tucker
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  2. Jacob W. Hall
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  3. Christine A. Mowatt-Larssen
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  4. Todd W. Canada
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Corresponding author

Correspondence to Todd W. Canada .

Editor information

Editors and Affiliations

  1. Department of Critical Care, University of Texas MD Anderson Cancer C Department of Critical Care, Houston, TX, USA

    Joseph L. Nates

  2. Department of Critical Care, University of Texas MD Anderson Cancer C Department of Critical Care, Houston, TX, USA

    Kristen J. Price

Section Editor information

  1. Clinical Pharmacy Svcs, Pharmacy Clinical Programs, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA

    Todd W. Canada

  2. Clinical Pharmacy Specialist – Critical Care / Nutrition Support, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA

    Jeffrey J. Bruno

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Tucker, A.M., Hall, J.W., Mowatt-Larssen, C.A., Canada, T.W. (2019). Supportive Care Considerations and Nutrition Support for Critically Ill Cancer Patients. In: Nates, J., Price, K. (eds) Oncologic Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-319-74698-2_30-1

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  • DOI: https://doi.org/10.1007/978-3-319-74698-2_30-1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-74698-2

  • Online ISBN: 978-3-319-74698-2

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