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Journal ArticleDOI

Enteral versus parenteral early nutrition in ventilated adults with shock: a randomised, controlled, multicentre, open-label, parallel-group study (NUTRIREA-2)

Jean Reignier, +113 more
- 13 Jan 2018 - 
- Vol. 391, Iss: 10116, pp 133-143
TLDR
In critically ill adults with shock, early isocaloric enteral nutrition did not reduce mortality or the risk of secondary infections but was associated with a greater risk of digestive complications compared with early isocallyoric parenteral nutrition.
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This article is published in The Lancet.The article was published on 2018-01-13. It has received 346 citations till now. The article focuses on the topics: Parenteral nutrition & Enteral administration.

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Citations
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Journal ArticleDOI

Early versus delayed enteral nutrition in mechanically ventilated patients with circulatory shock: a nested cohort analysis of an international multicenter, pragmatic clinical trial

TL;DR: In this paper , an international, multicenter, pragmatic randomized clinical trial (RCT) evaluating protein dose in ICU patients with circulatory shock was conducted, and the authors found that early enteral nutrition (EEN) was associated with improved clinical outcomes in mechanically ventilated (MV) patients.
Journal ArticleDOI

A systematic review of the definitions and prevalence of feeding intolerance in critically ill adults.

TL;DR: A systematic review of studies in adult critical care patients to evaluate the definitions, relative risk, predictors and clinical outcomes of enteral feeding intolerance (FI) and to propose a uniform definition was performed in this article .
Journal ArticleDOI

When and how to manage enteral feeding intolerance

TL;DR: The study found no difference between ulimorelin and metoclopramide in the primary endpoint of percentage of daily protein prescription over 5 days of treatment, and there were no differences in the secondary endpoints of feeding success, gastric emptying assessed by paracetamol absorption, incidence of recurrent EFI, vomiting or regurgitation, aspiration, and pulmonary infection.
Journal ArticleDOI

Actively implementing an evidence-based feeding guideline for critically ill patients (NEED): a multicenter, cluster-randomized, controlled trial

TL;DR: In this article , the authors developed an evidence-based feeding guideline for nutrition therapy in critical illness and conducted a large-scale, sufficiently powered study to ascertain the effects of guideline implementation on patient-centered outcomes.
Journal ArticleDOI

Relationship between microaspiration of gastric contents and ventilator-associated pneumonia.

TL;DR: Aspiration of gastric contents is common in critically ill patients, and has been identified as a risk factor for ventilator-associated pneumonia (VAP), but in many patients this event is not followed by any negative impact on patient outcome.
References
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Journal ArticleDOI

The SOFA (Sepsis-related Organ Failure Assessment) score to describe organ dysfunction/failure. On behalf of the Working Group on Sepsis-Related Problems of the European Society of Intensive Care Medicine.

TL;DR: The ESICM developed a so-called sepsis-related organ failure assessment (SOFA) score to describe quantitatively and as objectively as possible the degree of organ dysfunction/failure over time in groups of patients or even in individual patients.
Journal ArticleDOI

Design and analysis of randomized clinical trials requiring prolonged observation of each patient. II. analysis and examples.

TL;DR: Efficient methods of analysis of randomized clinical trials in which the authors wish to compare the duration of survival among different groups of patients are described.
Journal ArticleDOI

A new Simplified Acute Physiology Score (SAPS II) based on a European/North American multicenter study

J R Le Gall, +2 more
- 22 Dec 1993 - 
TL;DR: The SAPS II, based on a large international sample of patients, provides an estimate of the risk of death without having to specify a primary diagnosis, and is a starting point for future evaluation of the efficiency of intensive care units.
Journal ArticleDOI

Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock: 2016

Andrew Rhodes, +58 more
TL;DR: Although a significant number of aspects of care have relatively weak support, evidence-based recommendations regarding the acute management of sepsis and septic shock are the foundation of improved outcomes for these critically ill patients with high mortality.
Journal ArticleDOI

Design and analysis of randomized clinical trials requiring prolonged observation of each patient. I. Introduction and design.

TL;DR: This report is the first simple account yet published for non-statistical physicians of how to analyse efficiently data from clinical trials of survival duration, and it may be preferable to use these statistical methods to study time to local recurrence of tumour, or toStudy time to detectable metastatic spread, in addition to studying total survival.
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