Nutrition Support for the Critically Ill

This text provides a review of the current knowledge in both the mechanics of nourishing the critically ill and the metabolic and immunological roles nutrients play. In-depth chapters discuss disease related malnutrition as distinct from under-or-over nourishment and the impact of nourishment in either form of malnutrition. The appropriate timing and indications for nutrition support are provided, as well as advanced techniques for improving practice. A broad range of issues related to interdisciplinary practice are also addressed.  Useful for a wide variety of practitioners, including ICU doctors, hospitalists, and nutrition support physicians, Nutrition Support of the Critically Ill provides the scientific underpinnings and practical recommendations for practice.

1 An Introduction to Malnutrition in the Intensive Care Unit.- 2 The Immunological Role of Nutrition in the Gut.- 3 Assessment of the Patient.- 4 Timing and Indications for Enteral Nutrition in the Critically Ill.- 5 Access and Complications of Enteral Nutrition Support for Critically Ill Patients.- 6 Timing and Indication for Parenteral Nutrition in the Critically Ill.- 7 Access and Complications of Parenteral Nutrition.- 8 Surgical Intensive Care Considerations.- 9 Major Infections and Sepsis.- 10 Organ Failure and Specialized Enteral Formulas.- 11 Management of the Obese Patient.- 12 Ethical Considerations in Nutrition Support in Critical Care.- 13 Safe Practices for Enteral and Parenteral Nutrition.- 14 The Economic Impact of Nutrition Support, and the Multidisciplinary Approach.- 15 Microbiome in the Critically Ill.- Future Research.