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Intensive Care Medicine

Tutorial 544

Nutritional Considerations for ICU Patients. Part 1: When, What, and How to Feed

Dr Gothyang Makuya1,3†, Dr Zainub Jooma2,3

1Anaesthetic Registrar, Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa 2Anaesthetic Consultant, Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa

3University of the Witwatersrand, Faculty of Health Sciences, School of Clinical Medicine, Department of Anaesthesia

Edited by: Dr Subramani Kandasamy, Senior Professor, Critical Care Medicine, Former head of the Division of Critical Care Medicine and Surgical ICU, Christian Medical College, Vellore – 632004, Tamilnadu, India

Corresponding author email: gothyang.makuya@wits.ac.za

DOI: 10.28923/atotw.544

Published March 25, 2025

Abstract

This 2-part tutorial provides an up-to-date review of nutritional support in the ICU, updating previous guidance. It examines evidence-based strategies covering energy assessment, feeding modalities and individualised nutrition to optimise patient outcomes across the spectrum of critical illness, including specialised populations and post-ICU care.