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Nutritional support in sepsis: when less may be more.


ABSTRACT: Despite sound basis to suspect that aggressive and early administration of nutritional support may hold therapeutic benefits during sepsis, recommendations for nutritional support have been somewhat underwhelming. Current guidelines (ESPEN and ASPEN) recognise a lack of clear evidence demonstrating the beneficial effect of nutritional support during sepsis, raising the question: why, given the perceived low efficacy of nutritionals support, are there no high-quality clinical trials on the efficacy of permissive underfeeding in sepsis? Here, we review clinically relevant beneficial effects of permissive underfeeding, motivating the urgent need to investigate the clinical benefits of delaying nutritional support during sepsis.

SUBMITTER: van Niekerk G 

PROVIDER: S-EPMC7023788 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature

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Nutritional support in sepsis: when less may be more.

van Niekerk Gustav G   Meaker Charné C   Engelbrecht Anna-Mart AM  

Critical care (London, England) 20200214 1


Despite sound basis to suspect that aggressive and early administration of nutritional support may hold therapeutic benefits during sepsis, recommendations for nutritional support have been somewhat underwhelming. Current guidelines (ESPEN and ASPEN) recognise a lack of clear evidence demonstrating the beneficial effect of nutritional support during sepsis, raising the question: why, given the perceived low efficacy of nutritionals support, are there no high-quality clinical trials on the effica  ...[more]

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