Without doubt as in medicine one size doesn’t fit all, we don’t administrate the same drug or dose to every patient at all times.
Why to live under illusion to give same nutrition all times in case of critical illness.
Critical illness and trauma leads to consistent early increase in metabolic/caloric need, the so called “hypermetabolism” of critical
illness.
ICU nutrition delivery may lead to starvation of patient and is likely to be major contributor of poor quality of life out comes.
Actual calorie and protein delivery of post operative patients is considered are critically.
Following ICU story significant protein/calories delivery for months or years in required and facilitated at Bloom fit diet clinic.