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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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Journal ArticleDOI

Update on nutritional assessment and therapy in critical care

TL;DR: Based on recent studies, full energy feeding early during critical illness has no measurable beneficial effect, and may even be harmful, when applied to entire populations, and the mechanisms underlying this are unknown and remain proposed theories.
Journal ArticleDOI

Risks in Management of Enteral Nutrition in Intensive Care Units: A Literature Review and Narrative Synthesis.

TL;DR: In this article, a literature review was conducted to identify risks and safety issues for patient safety in the management of enteral nutrition in critically ill patients in the ICU, including inadequate tube management, missing energy target, missing a nutritionist, bad hygiene and handling, wrong time management and speed, nutritional interruptions, wrong body position, gastrointestinal complication and infections, missing or not using guidelines, understaffing, and lack of education.
Journal ArticleDOI

Should we calculate or measure energy expenditure? practical aspects in the ICU.

TL;DR: To minimize energy debt in the intensive care unit, this work supports early enteral feeding of critically ill patients and recommends that the supplemental parenteral nutrition should be prescribed to close the caloric gap if the goal is not reached by enteral nutrition alone.
Journal ArticleDOI

Gut dysmotility in the ICU: diagnosis and therapeutic options.

TL;DR: ‘Off-label’ metoclopramide and/or erythromycin administration are effective for upper gastrointestinal dysmotility but have adverse effects and trials of alternative or novel promotility drugs have not demonstrated superiority over current pharmacotherapies.
Journal ArticleDOI

Safety, Tolerability, and Outcomes of Enteral Nutrition in Extracorporeal Membrane Oxygenation.

TL;DR: A narrative review intends to provide an overview of ECMO, highlight the rationale for nutrition support in this population, and review the safety, tolerability, and outcomes associated with enteral nutrition during ECMO.
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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