Organ support & nutrition

Contemporary Rationale for Delivering Enteral Nutrition in Critically Ill Adults

Crit Care MedPublished Narrative review

Authors' conclusion

Contemporary data support the use of restrictive dose enteral nutrition during the acute phase of critical illness. High-dose protein is not superior to lower and is associated with worse outcomes in critically ill adults with acute kidney injury and those with greater severity of illness.

Study context

Population
Critically ill adults
Comparison
Restrictive vs full-dose enteral nutrition; high-dose vs standard protein

Main finding

As reported in the abstract

  • Restrictive-dose enteral nutrition during the acute phase preserves gut integrity, supports the microbiome and modulates immune dysregulation
  • Full-dose vs restrictive-dose enteral nutrition in the acute phase may offset the benefit of enteral feeding, causing iatrogenic stresses leading to worse outcomes (contemporary RCTs)
  • High-dose vs standard protein does not improve clinical outcomes and may be harmful in certain subsets

Original publication

Contemporary Rationale for Delivering Enteral Nutrition in Critically Ill Adults. Crit Care Med. Published 21 May 2025. doi:10.1097/ccm.0000000000006711

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.