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...Clinical practice guidelines for nutrition support in mechanically ventilated critically ill adult patients address correspondence dr daren heyland kingston general hospital ont canada kl v phone ext fax email dkh post queensu ca this guideline was funded by unrestricted grants from the canadian institute of health research critical care society and is a career scientist ontario ministry key words intensive units th december confidential copy not distribution structured abstract objective to develop evidence based i e enteral parenteral adults options following interventions were systematically reviewed inclusion en vs pn early late dose composition protein carbohydrates lipids immune enhancing additives strategies optimize delivery minimize risks rate advancement checking residuals use bedside algorithms motility agents small bowel gastric feedings elevation head bed closed systems probiotics bolus administration combination with supplemental standard an intact gi tract intravenous vi...