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Nestlé Nutrition Institute: ESICM Satellite Symposium 2018

This symposium explores the different aspects of nutrition in the ICU and how nutritional requirements of the critically ill patient are met effectively. There is an overview of nutritional monitoring practices and how we could improve them for better nutritional delivery. There is also an overview of the DIVINE study which investigates the use of different nutritional formulas to facilitate blood glucose control in critically ill overweight and obese patients. Finally, there is a discussion on the association between skeletal muscle wasting and weakness in the critically ill patient.









Nestlé Nutrition Institute symposium: Nutritional challenges in ICU patients


This symposium explored controversial aspects of the nutritional management of patients in the ICU. There are new concepts and old controversies such as the role of permissive underfeeding and the optimal timing of nutrient delivery. Glucose control is also one such area where there is still no widespread agreement on optimal targets for blood glucose control in ICU. In addition to modulating the provision of protein / energy delivery, speakers looked at the influence of nutrition on blood glucose control and discussed new clinical data suggesting that higher protein – lower carbohydrate enteral nutrition may improve glycaemic control without increasing the risk of hypoglycaemia.