Enteral and Parenteral Nutrition in the ICU
摘要
Although there is still uncertainty, start of enteral nutrition is recommended in case of hemodynamic stability within the first 2 days of critical illness. In primarily malnourished patients and those with severe illness bearing the risk for an accumulating caloric and protein debt, parenteral supplementation should be considered in case of inappropriate enteral intake on day 4 at the latest. Taking into account local process-related barriers, implementation of a feeding protocol or standard operative procedure is recommended.