In this large trial of ICU patients, they were randomized to parenteral nutrition at 2 days or 8+ days. Those in the late group did better than the early group in measures of ICU infections, functional status at hospital discharge, days of mechanical ventilation or renal replacement therapy, and overall cost. We should resist the temptation to start early parenteral feeds in ICU patients (abstract)
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.