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Critical Care
Published in: Critical Care 1/2018

Open Access 01-12-2018 | Letter

Response to Gunst and Casaer on the letter to the editor “Is the protein intake saturated at doses recommended by the feeding guidelines for critically ill patients?”

Authors: Arthur Raymond Hubert van Zanten, on behalf of the study group

Published in: Critical Care | Issue 1/2018

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Excerpt

We thank Drs Gunst and Casaer for their interest in our study showing that a very high intact-protein enteral formula (VHPF) can successfully provide protein intakes according to nutritional recommendations in overweight critically ill patients [1]. The authors speculate, by roughly estimating and referring to post hoc data from the EPaNIC-trial using parenteral nutrition, that two-thirds of the additional protein provided could be wasted in urea, potentially inducing harm. We were asked to calculate the cumulative amount of nitrogen retained [2]. …
Literature
1.
van Zanten ARH, Petit L, De Waele J, Kieft H, de Wilde J, van Horssen P, Klebach M, Hofman Z. Very high intact-protein formula successfully provides protein intake according to nutritional recommendations in overweight critically ill patients: a double-blind randomized trial. Crit Care. 2018;22(1):156.CrossRefPubMedPubMedCentral
2.
Gunst J, Casaer MP. Is the protein intake saturated at doses recommended by the feeding guidelines for critically ill patients? letter to the editor. Crit Care. 2018;22(1):230.
3.
Sundstrom Rehal M, Liebau F, Tjader I, Norberg A, Rooyackers O, Wernerman J. A supplemental intravenous amino acid infusion sustains a positive protein balance for 24 hours in critically ill patients. Crit Care. 2017;21(1):298.CrossRefPubMedPubMedCentral
4.
Koekkoek WACK, van Setten CHC, Olthof LE, Kars JCNH, van Zanten ARH. Timing of PROTein INtake and clinical outcomes of adult critically ill patients on prolonged mechanical VENTilation: The PROTINVENT retrospective study. Clin Nutr. 2018.
5.
Koekkoek K, van Zanten ARH. Nutrition in the ICU: new trends versus old-fashioned standard enteral feeding? Curr Opin Anaesthesiol. 2018;31(2):136–43.PubMed
Metadata
Title
Response to Gunst and Casaer on the letter to the editor “Is the protein intake saturated at doses recommended by the feeding guidelines for critically ill patients?”
Authors
Arthur Raymond Hubert van Zanten
on behalf of the study group
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Critical Care / Issue 1/2018
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/s13054-018-2189-4

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