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Nutrition support of the chronically critically ill patient.

Abstract

Providing nutrition and metabolic support to the CCI patient is based on the rational application of scientifically derived data and clinical experience with this unique population. Much of the data presented has been extrapolated from the critically ill ICU patients and the chronically ill hospitalized or nursing home patient, as there are limited data solely based on an experience with the CCI [table: see text] patient population. The key principles are: (1) primacy of protein provision and avoidance of overfeeding energy, (2) use of combined modality (enteral, parenteral, and oral) nutrition to meet needs as required, (3) use of adjunctive agents to promote nitrogen retention when needed, and (4) recognition of and adjustment for altered nutrient requirements (Table 3).

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  • Authors+Show Affiliations

    ,

    Division of Endocrinology, Diabetes, and Bone Disease, Mount Sinai School of Medicine, One Gustave L. Levy Place, New York, NY 10029, USA. Jmechanick@aol.com

    Source

    Critical care clinics 18:3 2002 Jul pg 597-618

    MeSH

    Chronic Disease
    Critical Illness
    Diarrhea
    Dietary Supplements
    Enteral Nutrition
    Humans
    Nutrition Disorders
    Nutritional Support
    Obesity
    Parenteral Nutrition, Total
    Serum Albumin
    Wound Healing

    Pub Type(s)

    Journal Article
    Review

    Language

    eng

    PubMed ID

    12140915

    Citation

    Mechanick, Jeffrey I., and Elise M. Brett. "Nutrition Support of the Chronically Critically Ill Patient." Critical Care Clinics, vol. 18, no. 3, 2002, pp. 597-618.
    Mechanick JI, Brett EM. Nutrition support of the chronically critically ill patient. Crit Care Clin. 2002;18(3):597-618.
    Mechanick, J. I., & Brett, E. M. (2002). Nutrition support of the chronically critically ill patient. Critical Care Clinics, 18(3), pp. 597-618.
    Mechanick JI, Brett EM. Nutrition Support of the Chronically Critically Ill Patient. Crit Care Clin. 2002;18(3):597-618. PubMed PMID: 12140915.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Nutrition support of the chronically critically ill patient. AU - Mechanick,Jeffrey I, AU - Brett,Elise M, PY - 2002/7/27/pubmed PY - 2003/1/16/medline PY - 2002/7/27/entrez SP - 597 EP - 618 JF - Critical care clinics JO - Crit Care Clin VL - 18 IS - 3 N2 - Providing nutrition and metabolic support to the CCI patient is based on the rational application of scientifically derived data and clinical experience with this unique population. Much of the data presented has been extrapolated from the critically ill ICU patients and the chronically ill hospitalized or nursing home patient, as there are limited data solely based on an experience with the CCI [table: see text] patient population. The key principles are: (1) primacy of protein provision and avoidance of overfeeding energy, (2) use of combined modality (enteral, parenteral, and oral) nutrition to meet needs as required, (3) use of adjunctive agents to promote nitrogen retention when needed, and (4) recognition of and adjustment for altered nutrient requirements (Table 3). SN - 0749-0704 UR - https://www.unboundmedicine.com/medline/citation/12140915/full_citation L2 - https://linkinghub.elsevier.com/retrieve/pii/S0749-0704(02)00006-4 DB - PRIME DP - Unbound Medicine ER -