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Enteral Nutrition in the Critically Ill: Myths and Misconceptions

Marik, Paul E. MD, FCCM, FCCP, ABPNS

doi: 10.1097/CCM.0000000000000051
Review Articles

Background: Nutritional support is an essential component of the management of critically ill and injured ICU patients. Optimal provision of calories and protein has been demonstrated to reduce morbidity, mortally, and length of ICU and hospital stay. Yet, a large proportion of ICU patients receive inadequate nutrition.

Objective: To provide an evidence-base assessment of factors leading to inadequate enteral nutrition support in critically ill patients.

Data Source: Search of PubMed database and manual review of bibliographies from selected articles.

Data Synthesis and Conclusions: A number of common myths and misconceptions appear to play a major role in limiting the provision of enteral nutrition in the critically ill. This article provides scientific data to debunk the most common myths and misconceptions related to enteral nutrition.

Division of Pulmonary and Critical Care Medicine, Eastern Virginia Medical School, Norfolk, VA.

The author has disclosed that he does not have any potential conflicts of interest.

For information regarding this article, E-mail: marikpe@evms.edu

© 2014 by the Society of Critical Care Medicine and Lippincott Williams & Wilkins