The delivery of nutrition to the critically ill is incredibly complex.
There is little evidence that providing standard nutritional requirements of 25K/cal/Kg improves outcome.
Foremost amongst this evidence is the TARGET trial, a large randomised controlled trial of 4000 patients in Intensive care.
Paul Young
Paul Young is a member of the Australian and New Zealand Intensive Care Society Clinical Trials Group (ANZICS CTG). His primary interest is in the design and conduct of large-scale multicentre clinical trials in the field of Intensive Care Medicine.He is the co-clinical leader and director of research at Wellington ICU, the clinical director at Wakefield Hospital ICU, and the ICU programme director at the Medical Research Institute of New Zealand.