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nutrition in the intensive care unit营养在重症监护室.pdf

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nutrition in the intensive care unit营养在重症监护室

Review R67 Nutrition in the intensive care unit Charles Weissman Nutritional support has become a routine part of the care of the critically ill Address: Department of Anesthesiology and patient. It is an adjunctive therapy, the main goal of which is to attenuate the Critical Care Medicine, Hebrew University – Hadassah, School of Medicine, Jerusalem, Israel development of malnutrition, yet the effectiveness of nutritional support is often thwarted by an underlying hostile metabolic milieu. This requires that these Correspondence: Charles Weissman, MD, metabolic changes be taken into consideration when designing nutritional Department of Anesthesiology, Hadassah regimens for such patients. There is also a need to conduct large, multi-center University Hospital, Kiryat Hadassah, POB 12000, studies to acquire more knowledge of the cost–benefit and cost effectiveness of Jerusalem, Israel 91120. Tel: 011 972 2 677 7269; fax: 011 972 2 643 4434; nutritional support in the critically ill. e-mail: Charles@hadassah. org. il Keywords: enteral nutrition, glucose, intensive care, metabolism, parenteral nutrition Received: