The NUTRIREA-2 trial by Jean Reignier and colleagues¹ in The Lancet provides an important piece in the puzzle of intensive-care unit (ICU) nutrition management. This pragmatic multicentre study done at 44 French ICUs randomly assigned patients aged 18 years or older requiring invasive mechanical ventilation and vasopressors (median 0·5 μg/kg per min) to receive either enteral nutrition (n=1202) or parenteral nutrition (n=1208), both targeting normocaloric goals (20–25 kcal/kg per day), within 24 h after intubation or ICU admission.

中文翻译：

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重症监护病房中的营养：有时路线很重要

Jean Reignier及其同事¹在《柳叶刀》杂志上进行的NUTRIREA-2试验为重症监护病房（ICU）营养管理的难题提供了重要组成部分。这项实用的多中心研究在44名法国ICU进行，他们随机分配了18岁或18岁以上需要有创机械通气和升压药（中位数0·5μg/ kg / min）以接受肠内营养（n = 1202）或肠胃外营养（n = 1208），均以插管或入ICU后24小时内的正常热量目标（每天20-25 kcal / kg）为目标。