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Comment & Response |

Early Parenteral Nutrition in Critical Illness

L. John Hoffer, MD, PhD1
[+] Author Affiliations
1McGill University, Montreal, Quebec, Canada
JAMA. 2013;310(11):1183. doi:10.1001/jama.2013.276761.
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To the Editor The randomized controlled trial of early parenteral nutrition in patients with critical illness1 targeted calories, but the nutrient that is most lacking in critical illness and whose provision is most likely to be of benefit is protein. When hydrated, free amino acid mixtures provide 17% less protein substrate than formed dietary proteins.2


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September 18, 2013
Gordon S. Doig, PhD; Fiona Simpson, MND
1Northern Clinical School Intensive Care Research Unit, University of Sydney, Sydney, Australia
JAMA. 2013;310(11):1184. doi:10.1001/jama.2013.276779.
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