Protein in critical illness

Increased protein supply is associated with increased survival^1,2

Loss of muscle mass and malnutrition is common among critically ill patients³. Approximately 50% will not meet their nutritional targets while in the intensive care unit (ICU)⁴.

Malnutrition in this setting can often be the result of increased catabolism and patients increased nutritional needs. Malnourished patients may be susceptible to complications such as prolonged respiratory dysfunction and increased mortality⁵.

Nutritional intervention can have a major impact on survival and recovery for these patients^5,6. Protein is the most important macronutrient in this phase, contributing to the conservation of lean body mass, and positively impacting both mortality and mobility^5,6. Adequate supply of protein is thus fundamental in the treatment of critically ill patients.

Early administration of high protein enteral nutrition is important

An adequate supply of protein is thus fundamental in the treatment of critically ill patients. Protein-rich enteral nutrition should be given to all critically ill patients who are not expected to resume normal diet within 3 days^6-8. Initiation should be within the first 24-48 hours after admission^6,8 as an early start of protein-rich enteral nutritional therapy has been shown to:

• reduce length of stay, occurrence of infectious complications and spontaneous wounds
• prevent muscle loss
• reduce length of stay
• reduce occurrence of infectious complications and spontaneous wounds⁹.

Enteral feeding products should provide a well-tolerated solution with a protein supply that fully meets international guidelines without risking over feeding calories, helping patients reach protein and energy targets early.

Introducing Nutrison Protein Intense

The first and only whole protein tube feed with a high protein level that fully meets international critical care guidelines^6-8,10-12.

^{This video content originates from the Nutricia Global Virtual Conference held on the 21st of May 2021}

News in the value of Nutritional Management in ICU

Watch the video and learn from Prof Arthur van Zanten on how to reach your patients' protein recommendations in clinical practice.