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Companion Animal Practice
Nutritional support for the critical care patient
  1. Isuru Gajanayake

    Isuru Gajanayake graduated from the University of Sydney, Australia, in 1998. He is currently the Waltham resident in small animal internal medicine and clinical nutrition at the Royal Veterinary College. He holds the RCVS certificate in small animal medicine.

  2. Daniel Chan

    Daniel Chan graduated from Cornell University, USA, in 1998. He is currently director of the Nutritional Support Service and co-director of the Section of Emergency and Critical Care at the Royal Veterinary College. He is boardcertified in veterinary emergency and critical care, as well as in clinical nutrition.


MALNUTRITION is thought to have a significant impact on morbidity and mortality in human patients who are critically ill. As a result, nutritional support has become a priority rather than an afterthought in the management of patients in many intensive care units. The importance of nutritional modulation of diseases is also increasingly being recognised in veterinary medicine, and this is especially true of critical illness. This article discusses the provision of parenteral and enteral nutrition for the critical care patient, and describes some situations in which these treatments are particularly useful.

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