
According to the Merriam-Webster Dictionary a poison or toxin is “a substance that through its chemical action usually kills, injures or impairs an organism” [1]. Based on this definition, in the critically ill, total parenteral nutrition (TPN) meets all the criteria of a poison/toxin. Furthermore, TPN exhibits other properties common to many toxins, namely, the presence of a dose response curve (the more you give the greater the toxicity), its toxicity is most evident in those with depressed host defense mechanisms (the critically ill) and an antidote exists (enteral nutrition).
Enteral Nutrition, Evidence-Based Medicine, Treatment Outcome, Critical Care, Critical Illness, Patient Selection, Immune Tolerance, Humans, Parenteral Nutrition, Total, Morbidity
Enteral Nutrition, Evidence-Based Medicine, Treatment Outcome, Critical Care, Critical Illness, Patient Selection, Immune Tolerance, Humans, Parenteral Nutrition, Total, Morbidity
| citations This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 108 | |
| popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Top 10% | |
| influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Top 10% | |
| impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Top 10% |
