Nutritional support in sepsis: still skeptical?

Current Opinion in Critical Care
Gérard Nitenberg

Abstract

The immediate metabolic response to a septic challenge is probably adaptive, meaning that nutritional interference, mainly via the parenteral route, during this early phase of instability can do more harm than good. During the later phases, a gradual increase in enteral nutrition, at the expense of parenteral nutrition, combined with the administration of nutraceuticals such as glutamine and omega-3 fatty acids, can counteract wasting and modulate the complex inflammatory response and immunosuppression associated with sepsis. In these times of scarce resources, there is an urgent need to clearly document the efficacy of immuno/pharmaconutrients, individually and in combination, enterally or parenterally, before proposing them for routine management of septic patients in the intensive care unit.

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Citations

Jan 9, 2004·Clinics in Chest Medicine·Simon V Baudouin, Timothy W Evans
Apr 13, 2007·Intensive Care Medicine·Djamel HamaniChristophe Moinard
Dec 29, 2015·Nutrition and Cancer·Jin-Sheng HongJun Tian
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Feb 18, 2003·Current Opinion in Clinical Nutrition and Metabolic Care·Richard D Griffiths

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