4.3 Article

Nutrition Therapy for ALI and ARDS

Journal

CRITICAL CARE CLINICS
Volume 27, Issue 3, Pages 647-+

Publisher

W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.ccc.2011.05.004

Keywords

Nutrition therapy; Enteral nutrition; Acute respiratory distress syndrome; Acute lung injury

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The importance of nutrition support in critically ill patients with acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) cannot be overstated. ALI and ARDS are characterized by a proinflammatory response associated with hypercatabolism that could lead to significant nutrition deficits. Nutrition support is necessary to prevent cumulative caloric deficits, malnutrition, loss of lean body mass, and deterioration of respiratory muscle strength. Furthermore, early delivery of enteral nutrition has been associated with the modulation of stress and the systemic immune response as well as the attenuation of disease severity.

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