Key messages

• The nutritional and metabolic changes which occur in critical illness are driven by any combination of lack of nutrient intake (starvation), the endocrine/mediator response to the 'stress' of critical illness, and physiological insult to the gastrointestinal tract.

• The metabolic response to critical illness is typified by catabolism, protein loss, and immunosuppression.

• Nutritional support of the critically ill patient should supply raw material for protein anabolism, wound healing, and organ repair, supply energy and other substances needed to maintain cellular function, and, if possible, attenuate harmful aspects of the metabolic response.

Sleep Apnea

Sleep Apnea

Have You Been Told Over And Over Again That You Snore A Lot, But You Choose To Ignore It? Have you been experiencing lack of sleep at night and find yourself waking up in the wee hours of the morning to find yourself gasping for air?

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