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Basic Sciences

Tutorial 60

Nutrition in ICU

Hugo Wellesley

Frenchay Hospital, Bristol, UK.

hugowellesley@yahoo.com

2nd DECEMBER 2007

Abstract

Malnutrition is associated with a poor outcome in critical illness. Enteral nutrition is the mainstay of nutritional support and should be started early in all patients in whom it is safe to do so. It is not without risk but these risks can be significantly reduced with simple measures. Parenteral nutrition has a definite role but only in selected patients. In all patients receiving nutritional support it is vital to achieve glucose control with insulin therapy and important not to overfeed.