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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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Impact of Intensive Care Unit Nutrition on the Microbiome and Patient Outcomes.

TL;DR: The bipartite relationship between nutrition and the intestinal microbiome represents an exciting frontier in critical care medicine as mentioned in this paper , and the use of supplemental pre-, pro-, and synbiotics to influence microbial composition and improve outcomes in critically ill and postsurgical patients.
Journal ArticleDOI

Nutrición enteral (temprana) y estado hemodinámico en el paciente críticamente enfermo: ¿Qué debe saber el clínico de soporte nutricional?

TL;DR: The integral assessment of the patient considering clinical history,vasopressors, vital signs, clinical condition, and lactate levels, in order to begin with mainly early enteral support, with the ability to start the diagnosis process and immediately approach an eventual case of mesenteric ischemia.
Journal ArticleDOI

Metabolic Support in Acute Respiratory Distress Syndrome: A Narrative Review

TL;DR: In this paper , the characteristics of metabolic and artificial nutrition in patients with acute respiratory distress syndrome (ARDS) were discussed. But, the authors focused on describing the characteristics and characteristics of the metabolic and Artificial Nutrition in patients.
Journal ArticleDOI

Advances in the diagnosis of non-occlusive mesenteric ischemia and challenges in intra-abdominal sepsis patients: a narrative review

TL;DR: In this paper , a review aims to summarize advances in the diagnosis of NOMI, and focuses on the diagnostic challenges of mesenteric ischemia in patients with intra-abdominal sepsis.
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.
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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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