Search Tag: Nutrition
Optimising nutrition for recovery after ICU
2017 15 Sep
Optimising nutrition and metabolism post-ICU for recovery of functional lean body mass and quality of life. In-hospital mortality following intensive care unit (ICU) care has consistently declined in recent years (Kaukonen et al. 2014). However, these data reveal many of these ICU “survivors” are not returning home to functional lives after the ICU,... Read more
Optimising Nutrition With an Integrated Nutrition Module: Myth or Reality?
2016 30 Nov
As a neurointensivist with a strong interest in nutritional support, I was delighted to trial a new integrated nutritional module. We know that nutrition really matters to our ICU patients in the context of first indicators. For example, our research group recently published a paper about two patients with viral meningoencephalitis. Invasive neuromonitoring... Read more
Introduction
2016 30 Nov
The intensive care unit (ICU) is a complex environment, due to the surroundings, the heterogeneity of patients, caregiver turnover and the at times lengthy patient stays, which lead to increased complexity. The multiple technologies available add another layer of intricacy. However, with the modern tools available to the intensivist, it is now possible... Read more
Study: Under- and Over-Feeding Associated with Harm
2016 22 Nov
A study that examined resting energy expenditure, calorie and protein consumption in intensive care unit (ICU) patients found that both underfeeding and overfeeding appeared to be harmful. The results showed a non-linear, significant association between the percent Administered Calories (AdCal)/Resting Energy Expenditure (REE) as measured by indirect... Read more
ICU Nutrition - Puzzle Solved?
2016 08 Nov
Solving the conundrum of underfeeding of critically ill patients in practice while guidelines recommend generous feeding is the subject of an article in F1000Research, by L. John Hoffer, Lady Davis Institute for Medical Research, Jewish General Hospital, McGill University, Canada and Bruce Bistrian, Beth Israel Deaconess Medical Center, Harvard Medical... Read more
Is Enteral Feeding Feasible Early After Abdominal Crisis?
2016 27 Sep
The enteral route is commonly accepted as the first choice for providing nutrition to patients in the ICU with stable haemodynamics and a functional gastrointestinal (GI) tract. However, there is wide uncertainty regarding safe enteral nutrition in patients with critical pathology in the abdomen. In the current review we address different abdominal... Read more
Potential Nutritional Strategies to Reduce Muscle Wasting in Early Critical Illness
2016 30 May
This review will briefly discuss the potential role of nutrition and the schedule of delivery on reducing skeletal muscle wasting in early critical illness. Increasing numbers of patients are surviving critical illness due to treatment advances in the early management of acutely unwell patients. This survival advantage is reflected as an increase in... Read more