Anorexia may be defined as the lack of or loss of appetite. Appetite refers to the desire to satisfy some want or need, such as food. Thus, anorexia protocolis refers to the lack of our desire for protocols. We have spent many years developing and implementing protocols for the care of critically ill patients. Although we feel that development and implementation of evidenced-based protocols for the care of the critically ill patient are vital to improving care, it is also clear that many fine protocols are underutilized or never utilized.