nutrition

Miscellaneous

The metabolic response to stress in critical illness: updated review on the pathophysiological mechanisms, consequences, and therapeutic implications

Why this article matters Critical illness triggers a profound, highly coordinated metabolic stress response that extends far beyond “hypercatabolism.” This comprehensive review reframes how we understand energy metabolism, nutrition, endocrine signaling, immune function, and recovery across the acute, subacute, and chronic phases of critical illness. Importantly, it challenges long-standing assumptions around “early full feeding” and […]

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Miscellaneous

Rethinking energy and protein provision for critically ill patients

Abstract Guidelines informing energy and protein doses for critically ill patients are based largely on low-quality evidence and expert consensus recommendations [1, 2], but more recent randomized controlled trials (RCTs) have provided new data. Thus, we summarize here the current evidence base and provide advice concerning energy and protein provision during critical illness. Conclusions In critically

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