Critical Care and Shock

Trying to get out of the box

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Dr. Paul E. Marik suggests thinking outside the box when we use enteral nutrition support in the intensive care unit where the administration of formula in bolus theoretically presents greater benefit in preserving lean mass against continuous feeding. But what happens when we use parenteral nutrition support? It is to this that we propose a new administration scheme based on amino acids bolus and safety limits by a central line.

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