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(Nutrition in Clinical Medicine)
35,461 results
  • Enteral vs. parenteral nutrition in septic shock: are they equivalent? [Journal Article]
  • COCurr Opin Crit Care 2019 May 16
  • Kott M, Hartl WH, Elke G
  • CONCLUSIONS: The strong paradigm of favoring the enteral over the parenteral route in critically ill patients has been challenged. As a consequence, updated guidelines recommend withholding enteral nutrition in patients with uncontrolled shock. It is still unclear, however, whether parenteral nutrition is advantageous in patients with shock although benefits are conceivable in light of less gastrointestinal complications. Thus far, no guideline has addressed indications for parenteral nutrition in these patients. By considering recent scientific evidence, specific guideline recommendations, and expert opinions, we present a clinical algorithm that may facilitate decision-making when feeding critically ill patients with shock.
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