Guidelines for specialized nutritional and metabolic support in the critically ill patient update consensus of the spanish society of intensive care medicine and coronary units spanish society of parenteral and enteral nutrition semicyuc senpe gastrointestinal surgery article in spanish. Nutritional support of critically ill patients is a major treatment modality which will enhance recovery and shorten convalescence new knowledge has emphasized that much of the organ dysfunction associated with sepsis and altered blood flow is related to oxidative injury. Nutritional support in the acutely ill is a complex subject several recent studies have led to considerable changes in our understanding of the metabolic response to critical illness and of various aspects of nutritional management including monitoring of the metabolic response and the determination of caloric protein and micronutrient requirements. Metabolic acidaemia ph 735 not primarily related to hypoventilation is common amongst the critically ill and it is essential that clinicians caring for such patients have an understanding of the common causes. Recent investigations of nutrition support in the intensive care unit icu have revived discussion of optimal strategies for tight glucose control and the administration of total parenteral nutrition mode timing and adequacy of nutritional support affect glycemic control and outcomes in critically ill patients
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