Julia Ocon Breton

🚨 NEW MUST READ in New England Journal of Medicine: Critical Care Nutrition Review🚨 How should we feed critically ill patients? The answer continues to evolve. 💬 What do you think is the biggest misconception about ICU nutrition? Share your thoughts before reading below. ⬇️ This outstanding new review by Dr. Jayshil Patel and Dr. Stephen McClave summarizes the latest evidence on nutrition therapy in critically ill adults. Key takeaways: ✅ Early enteral nutrition remains the preferred approach when feasible, helping support gut integrity and the microbiome. ✅ When enteral feeding isn’t possible, parenteral nutrition is a safe alternative. ✅ More calories are not necessarily better early in critical illness—restrictive energy delivery may reduce gastrointestinal and metabolic complications. ✅ Higher protein doses have not consistently improved outcomes and may be harmful in some patients, particularly those with acute kidney injury. ✅ Preventing refeeding syndrome, optimizing glycemic control, and delivering nutrition safely are just as important as deciding what to feed. ✅ The future is precision nutrition—tailoring nutrition to the patient’s phase of illness, biology, and recovery goals to better preserve muscle and improve long-term outcomes. Critical care nutrition is no longer “one size fits all.” Personalized, phase-specific therapy is becoming the next frontier. 📖 Reference: Patel JJ, McClave SA. Nutrition Therapy in Critically Ill Adults. New England Journal of Medicine. 2026. doi:10.1056/NEJMra2506111 nejm.org/doi/full/10.1056/NE… @ICUnutrition @AuSPENfeed