Current Controversies Regarding Nutrition Therapy in the ICU

Journal of Clinical Outcomes Management. 2018 June;25(6)a:

June 6, 2018|Journal of Clinical Outcomes Management

Mary S. McCarthy, PhD, RN, CNSC;Shauna Phipps, RD, CNSC

Conclusion

In this review we described current ICU controversies surrounding nutrition therapy and briefly discussed the data that support more than one course of action. A summary of key points covered is presented in the Table.

As we implied, it appears nutrition support clinicians are at a crossroads where the best and safest course for nutrition therapy is to act early, proceed cautiously, monitor closely, and adjust as needed. This will ensure our “dietary regimens do no harm” and, at a minimum, reduce the continued breakdown of protein through muscle catabolism. Ultimately, we all hope to achieve the goal of healing and recovery from the unpredictable course of critical illness.

Disclaimer: The views expressed in this paper are those of the authors and do not reflect the official policy of the Department of the Army, the Department of Defense, or the U.S. government.

Corresponding author: Mary S. McCarthy, PhD, RN, CNSC, 1611 Nisqually St, Steilacoom, WA 98388.

Financial disclosures: None.

References

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