Why Does Nutrition Not Work in the Critically Ill?

Throughout life, we can learn and grow, either changing, or reaffirming our beliefs with every new insight and opinion

This week the New England Journal of Medicine published the most rigorous nutrition intervention trial performed in the critically ill to date.The results were surprising to say the least, turning prior research on its head, showing that antioxidants did not affect outcome, and glutamine, if any effect, increased mortality rates after 6 months. With its high-quality trial design, execution, and analysis it means a lot of questions have to be asked about the benefits of nutrition in the critically ill.

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