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Enhanced protein-energy provision via the enteral route in critically ill patients (PEP uP protocol): a review of evidence

Lee, Zheng Yii and Mohd Yusof, Barakatun Nisak and Ibrahim, Noor Airini and Heyland, Daren K. (2016) Enhanced protein-energy provision via the enteral route in critically ill patients (PEP uP protocol): a review of evidence. Nutrition in Clinical Practice, 31 (1). pp. 68-79. ISSN 0884-5336; ESSN: 1941-2452

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Abstract

Nutrition support is an integral part of care among critically ill patients. However, critically ill patients are commonly underfed, leading to consequences such as increased length of hospital and intensive care unit stay, time on mechanical ventilation, infectious complications, and mortality. Nevertheless, the prevalence of underfeeding has not resolved since the first description of this problem more than 15 years ago. This may be due to the traditional conservative feeding approaches. A novel feeding protocol (the Enhanced Protein-Energy Provision via the Enteral Route Feeding Protocol in Critically Ill Patients [PEP uP] protocol) was proposed and proven to improve feeding adequacy significantly. However, some of the components in the protocol are controversial and subject to debate. This article is a review of the supporting evidences and some of the controversy associated with each component of the PEP uP protocol.

Item Type: Article
Divisions: Faculty of Medicine and Health Science
DOI Number: 10.1177/0884533615601638
Altmetrics: http://www.altmetric.com/details.php?domain=psasir.upm.edu.my&doi=10.1177/0884533615601638
Publisher: American Society for Parenteral and Enteral Nutrition
Keywords: Clinical protocols; Critical care; Critical illness; Enteral nutrition; Nutritional support
Depositing User: Nabilah Mustapa
Date Deposited: 08 Jun 2011 18:07
Last Modified: 08 Jun 2016 09:33
URI: http://psasir.upm.edu.my/id/eprint/12577

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