Search Tag: Nutrition
Doctor Ignorance About Nutrition Not Defensible
2019 08 Jul
In a commentary published in JAMA Internal Medicine 01 July 2019, Neal Barnard, M.D., emphasised the importance for physicians today to be more familiar with nutrition knowledge. Dr. Barnard, Physicians Committee for Responsible Medicine president, explained how some of the main health concerns – diabetes, obesity, heart disease and some cancers... Read more
Nutrition in the ICU
2019 19 Jun
Patients in the ICU tend to achieve clinical improvement within 3 to 7 days of stay. However, there is a subset of patients who progress to chronic critical illness. This is usually characterised by low-grade persistent inflammation and protein catabolism, also referred to as Persistent Inflammatory Catabolism Syndrome (PICS). PICS patients... Read more
PROTINVENT study: protein intake timing and dose for the critically ill
2019 02 Apr
Optimal protein intake during critical illness is unknown. In order to achieve a personalised nutritional approach, Dutch researchers conducted the PROTein INtake and clinical outcomes of adult critically ill patients on prolonged mechanical VENTilation (PROTINVENT) study. The study’s primary aim was to determine the best timing and dose of protein... Read more
Dr. Paul Wischmeyer earns prestigious FASPEN award
2019 28 Mar
The American Society for Parenteral and Enteral Nutrition (ASPEN) has elected Duke Anesthesiology’s Paul Wischmeyer, MD, an honorary fellow. The FASPEN award is one of ASPEN’s highest honors as a society. It recognizes Dr. Wischmeyer’s exceptional achievement in practice and his research contributions to the clinical nutrition field, as well as his... Read more
3rd Edition of International Cancer Conference
2019 23 Sep
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Glycaemic control in critically ill patients: how tight should it be?
2018 16 Mar
There is still no widespread agreement around optimal targets for glucose control in the ICU: some clinicians maintain that glucose control is unnecessary and harmful, while others claim that blood glucose control is essential to improve prognosis. 1-3 Those who favour liberal glycaemic control assert that hyperglycaemia is simply a beneficial adaptation... Read more
Dysglycaemia in the critically ill
2018 16 Mar
As has been pointed out, the benefits of tight glycaemic control in the ICU have by no means been clearly established or accepted. In 2010 a meta-analysis of seven prospective randomised studies concluded that intensive insulin therapy in mixed ICU patients was not supported by evidence. 19 Today we understand that hyperglycaemia, hypoglycaemia,... Read more