caring for the critically ill patient total parenteral nutrition in the critically ill patient ameta analysis daren k heyland md frcpc msc shaun macdonald md frcsc laurie keefe rd john ...
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...Caring for the critically ill patient total parenteral nutrition in ameta analysis daren k heyland md frcpc msc shaun macdonald frcsc laurie keefe rd john w drover context nutritional support has become a standard of care hospitalized barrier structure and function aug patients but whether tpn affects morbidity mortality menting inflammatory response to is unclear illnessandresultingingreaterinfectious objective examine relationship between complication as consequence nutri rates tional supporthasbecomeastandardof datasources computerizedsearchofpublishedresearchonmedlinefrom personal les review relevant reference lists because intestinal stimulation from study selection we reviewed titles abstracts papers primary luminalnutrientshelpsmaintaingastro mucosal func studies were included if they randomized clinical trials or surgi tion enteral may have some cal that evaluated effect compared with on advantage over complicationandmortalityrates weexcludedstudiescomparingtpnwithenteral ran d...