Search Tag: Nutrition
Nutritional Support in Malnourished Medical Inpatients
2019 01 Dec
Patients who are malnourished or at nutritional risk do tend to have poorer outcomes compared to patients who are relatively healthier when they undergo surgery or are sick. Poorly nourished patients do not have the reserves to fight off illness, and in many cases, are also immunosuppressed with delayed wound healing. Malnutrition is a major public... Read more
Nutrition
2019 26 Sep
The critically ill patient is often unable to feed by mouth. This condition, in some patients, can range from days to months. It is imperative that these patients receive macronutrients either through enteral or parenteral nutrition. If they don't, there is a risk of an energy deficit that could lead to loss of lean body mass and subsequently, other... Read more
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
Energy Balance in Obese, Mechanically Ventilated Patients in ICU
2019 10 Sep
Clinical evidence shows that overfeeding critically ill patients is associated with poor outcomes. Obesity is a major challenge in ICU patients because of the comorbidities and anomalies associated with it. Determining an appropriate dose of enteral nutrition is difficult in this patient population and the risk of overfeeding quite high. An... Read more
Monitor Me! Infographic
2019 26 Aug
An overview of mHealth and its application and implementation in healthcare. Read more
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