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Rivista di Anestesia, Rianimazione, Terapia Antalgica e Terapia Intensiva
NUTRIZIONE NEL PAZIENTE CRITICO
Minerva Anestesiologica 1999 Giugno;65(6):471-4
Enteral nutrition: just a fuel or an immunity enhancer?
Bistrian B. R.
Clinical Nutrition, Beth Israel Deaconess Medical Center, Professor of Medicine, Harvard Medical School
Based on a review of randomized, controlled clinical trials, enteral feeding improves septic morbidity in critically ill and/or malnourished patients. Enteral feeding may be better than parenteral feeding, but a definitive study is not available. Immune-enhancing diets further improve septic morbidity in critically ill and/or malnourished patients. Active components identified include arginine, glutamine, and omega-3 fats, but the relative efficacy of any single immune inhancing component versus their combination is impossible to state based on the presently available evidence.