Search Tag: Critical Illness

ICU Management

New ESPEN Guidelines for Nutrition in the Critically Ill: Help, What Happened!?

2019 26 Sep

ESPEN guidelines for nutrition in critical illness have shifted from optimistic anticipative nutritional pharmacotherapy towards cautious and balanced metabolic support. This important new orientation in ICU nutrition management is a consequence of recent strong RCT-based evidence.   Introduction   Recently, the new ESPEN guidelines for critically... Read more

ICU Management

New Trends in ICU Nutrition

2019 26 Sep

The new trends in nutrition management included in the last guidelines are discussed, in particular the route and the dose of calories and proteins recommended. During the last decade, numerous paradigms and dogmas based on observational cohort studies were challenged by the publication of large multicentre prospective randomised controlled... Read more

ICU Management

Obesity and Nutrition in Critical Illness

2019 26 Sep

The role of nutrition in obese critically ill patients and an overview of the clinical guidelines for nutrition provision in this patient population. Introduction   The World Health Organization defines obesity as an excess of abdominal fat that poses an increased risk to health. Characterised by a body mass index (BMI) ≥30 kg/m2, obesity... Read more

ICU Management

New-onset Diabetes After Acute and Critical Illness

2017 09 May

The degree of in-hospital hyperglycaemia in acute and critically ill patients increases susceptibility to new-onset diabetes after hospitalisation, according to a systematic review published in the journal Mayo Clinic Proceedings.   "We found a stepwise increase in the prevalence of new-onset diabetes, with 28 percent of patients with severe hyperglycaemia developing... Read more