High protein early enteral nutrition to meet the needs of critically ill patients^1,2. Fresubin Intensive is designed for the dietary management of patients with or at risk of malnutrition, in particular critically ill patients including trauma, surgery, sepsis or burns. Fresubin Intensive is a 1.2 kcal/mL tube feed with high biological value protein (10 g/100 mL) rich in essential and branched chain amino acids to help preserve lean body mass and reduce catabolism³.

Available in 500 ml EasyBag.

• Moderate energy: 1.2 kcal/mL – 600 kcal per bag
• High protein: 50g protein per bag (100g per Litre)
• 100% whey protein hydrolysate, low in fat with MCT* for improved digestion, absorption and gastro-intestinal tolerance^4,5
• Modified carbohydrate profile with low glycaemic index to improve glycaemic control and to minimise blood glucose fluctuations^6,7
• 3g/day of EPA** and DHA*** from fish oil and antioxidants to induce immune-enhancing effects8 and to meet the stress-induced elevated needs of critically ill patients^8,9
• With fish oil
• With fibre

References

1) Singer P et al. Pragmatic approach to nutrition in the ICU: expert opinion regarding which calorie protein target. Clin Nutr 2014;33(2):246–251.

2) Taylor S et al. Critical care: Meeting protein requirements without overfeeding energy. Clinical Nutrition ESPEN 2016;11:e55–e62.

3) De Bandt JP, Cynober L. Therapeutic use of branched chain amino acids in burn, trauma and sepsis. J Nutr 2006;136:308S–313S.

4) Bauer J et al. Evidence-based recommendations for optimal dietary protein intake in older people: a position paper from the PROT-AGE Study Group. J Am Med Dir Assoc 2013;14(8):542–559.

5) Koopman R et al. Ingestion of a protein hydrolysate is accompanied by an accelerated in vivo digestion and absorption rate when compared with its intact protein. Am J Clin Nutr 2009;90(1): 106–115.

6) Hsu CW. Glycemic control in critically ill patients. World J Crit Care Med 2012;1(1):31–39.

7) Vaquenzo-Alonso C et al. Guidelines for specialized nutritional and metabolic support in the critically ill patient. Update. Consensus SEMICYUC-SENPE: Hyperglycemia and diabetes mellitus. Nutr Hosp 2011;26(Suppl. 2):46–49.

8) Hegazi RA, Wischmeyer PE. Clinical review: Optimizing enteral nutrition for critically ill patients – a simple data-driven formula. Crit Care. 2011;15(6):234.

9) McClave SA et al. Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N). JPEN J Parenter Enteral Nutr 2009; 33: 277–316.