Abstract
It might at first seem bold to suggest a link between nutritional therapy and survival of the critically ill. Ultimately however long-term survival is related to the food we eat and the air we breathe. Nutrition does not have such a high profile as oxygen in the intensive care world, and underfeeding and intermittent starvation is sadly the reality in the intensive care patient. How to value nutrition support and assess outcome in the adult intensive care unit (ICU) is a matter of continued debate [1, 2]. Any attempt to interpret the evidence for a beneficial effect of nutrition in the very sick adult runs into confusion because the type of patient and role of ICU are interpreted widely in different countries. The discussion will be restricted as far as possible to the care of severely ill patients at risk of death whose admission is usually unplaced and where the failure of independent function of one or more tissue or organ systems is a central feature. This is distinct from the high dependency care and monitoring of routine postoperative patients who may have anticipated temporary organ dysfunction because of surgery (e.g. brief ventilation because of cardiothoracic surgery) and where nutrition rarely presents a problem.
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© 1997 Springer-Verlag Berlin Heidelberg
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Griffiths, R.D., Palmer, T.E.A., Jones, C. (1997). Nutrition and Survival. In: Vincent, JL. (eds) Yearbook of Intensive Care and Emergency Medicine 1997. Yearbook of Intensive Care and Emergency Medicine, vol 1997. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-13450-4_59
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DOI: https://doi.org/10.1007/978-3-662-13450-4_59
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