Avoiding underfeeding in severely ill patients

3 and suggest an evidence-based algorithm, which essentially does not foresee supplemental parenteral nutrition (SPN) before days 5-7 after intensive care unit (ICU) admission, even in patients with contra-indication for enteral nutrition. 1 Furthermore, they state that SPN probably should be restricted to the most severely ill patients (possible long stayers), and in patients with malnutrition SPN