This text provides a review of the current knowledge in both the mechanics of nourishing the critically ill and the metabolic and immunological roles nutrients play. In-depth chapters discuss disease-related malnutrition as distinct from under-or-over nourishment and the impact of nourishment in either form of malnutrition. The appropriate timing and indications for nutrition support are provided as well as advanced techniques for improving practice. A broad range of issues related to interdisciplinary practice are addressed. Useful for a wide variety of practitioners, including ICU doctors, hospitalists, and nutrition support physicians, Nutrition Support of the Critically Ill provides practical bedside advice and simplified recommendations for practice.
Chapter 1. An Introduction to Malnutrition in the Intensive Care Unit David S. Seres Chapter 2. The Immunological Role of Nutrition in the Gut Rebecca A. Busch and Kenneth A. Kudsk Chapter 3. Assessment of the Patient Marion F. Winkler, Kenneth A. Lynch, Jr., and Stephanie N. Lueckel Chapter 4. Timing and Indications for Enteral Nutrition in the Critically Ill Philippa T. Heighes, Gordon S. Doig, and Fiona Simpson Chapter 5. Access and Complications of Enteral Nutrition Support for Critically Ill Patients Tushar D. Gohel and Donald F. Kirby Chapter 6. Timing and Indication for Parenteral Nutrition in the Critically Ill Jan Gunst and Michael P. Casaer Chapter 7. Access and Complications of Parenteral Nutrition Dustin R. Neel Chapter 8. Surgical Intensive Care Considerations Charles W. Van Way, III Chapter 9. Major Infections and Sepsis Eoin Slattery and David S. Seres Chapter 10. Organ Failure and Specialized Enteral Formulas Ainsley Malone and Farshad Farnejad Chapter 11. Management of the Obese Patient Roland N. Dickerson Chapter 12. Ethical Considerations in Nutrition Support in Critical Care Albert Barrocas and Denise Baird Schwartz Chapter 13. Safe Practices for Enteral and Parenteral Nutrition Joseph I. Boullata Chapter 14. The Economic Impact of Nutrition Support, and the Multidisciplinary Approach Robert DeChicco and Ezra Steiger Chapter 15. Microbiome in the Critically Ill Meredith Barrett and Daniel H. Teitelbaum Chapter 16. Future Research David S. Seres and Charles W. Van Way, III