Search Tag: Nutrition

ICU Management

Improving-clinical-outcomes-with-early-enteral-nutrition

2022 14 Oct

An overview of the benefits of early enteral nutrition, clinical evidence and recommendations, reasons for delayed enteral feeding in critically ill patients and optimal solutions. Early enteral nutrition is proven to improve clinical outcomes and reduce acute care costs. Nutrition clinicians support the belief that enteral nutrition is...Read more

ICU Management

Nutrition-monitoring-and-patient-data-management-systems

2022 25 May

An overview of nutritional targets and their impact on critically ill patients and the need to use a systematic approach to nutritional support for optimal patient outcomes. Critically ill patients are often hypermetabolic and catabolic and are at a higher risk of underfeeding. Nutritional support for these patients can prevent energy...Read more

ICU Management

Indirect-calorimetry-in-critically-ill-patients

2022 10 May

In a new review, the authors identify the pros and cons of indirect calorimetry to estimate resting energy expenditure and define individual nutritional energy targets among critically ill patients.  Indirect calorimetry (IC) is a monitoring tool that provides factual information on metabolism. There is significant evidence to show an important...Read more

ICU Management

Indirect-calorimetry-in-mechanically-ventilated-patients-to-assess-nutritional-targets

2021 23 Nov

An overview of the physiological aspects of indirect calorimetry, its limitations in use, the available literature and future prospects for tailored nutrition. Introduction Medical nutrition therapy (MNT) is an essential part of patient care in the intensive care unit (ICU) setting. Similar to mechanical ventilation and haemodynamic...Read more

ICU Management

Nutrition-in-the-post-icu-period-where-is-the-evidence

2020 24 Nov

This article summarises the current nutrition evidence in the phase of recovery that occurs following critical illness. Introduction It is plausible that the importance of nutrition may differ across different phases of illness. Reflecting this, the most recently updated clinical nutrition practice guidelines for critical care from the...Read more

ICU Management

Volume-20-issue-1-2020-1

2020 19 May

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ICU Management

Nutrition-for-critically-ill-patients-with-covid-19

2020 19 May

This article discusses the nutritional implications for critically ill patients admitted to intensive care for the management of COVID-19, and considers the inflammatory metabolic processes, nutrition-impacting symptoms, medical therapy, and the impact of a pandemic on staff resourcing and remote practice. Introduction The global...Read more

ICU Management

Icu-management-practice-2019-subject-index

2020 15 Jan

Subject Index for Volume 19, issues 1-4, 2019. Issue    Pages Link Issue 1  1-64 https://iii.hm/10cv Issue 2 65-128 https://iii.hm/10cw Issue 3 129-192 https://iii.hm/10cx Issue 4  193-256 https://iii.hm/10cy   Acute Respiratory Distress Syndrome Use of sedation...Read more

ICU Management

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

ICU Management

Volume-19-issue-3-2019-1

2019 26 Sep

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ICU Management

Nutrition-2

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

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

Infographic-1

2019 26 Sep

An overview of nutrition management in the ICU Read more

ICU Management

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

ICU Management

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

ICU Management

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

ICU Management

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

ICU Management

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

ICU Management

Esicm-euroasia-2019

2019 14 Apr

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ICU Management

Volume-18-issue-1-2018-1

2018 16 Mar

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ICU Management

Nutritional-challenges-in-icu-patients

2018 16 Mar

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...Read more

ICU Management

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

ICU Management

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

ICU Management

Facilitated-glucose-control-in-the-icu-through-nutrition

2018 16 Mar

As recently as 2010, the view of metabolic requirements for patients admitted to ICU was that all patients had the same metabolic needs and could therefore be managed with the same nutritional product. In general, critically ill patients were fed along the same lines as healthy people in the ratio of around 50% carbohydrates, 35% lipids and 15% protein....Read more

ICU Management

The-increased-recognition-of-proteins-in-critical-illness

2018 16 Mar

There are many new concepts and old controversies surrounding nutrition in critical care such as: the role of trophic feeding, permissive underfeeding, the use of immune modulating agents, and the optimal timing of nutrient delivery. However, enteral nutrition and protein delivery have consistently been found to be beneficial. Traditionally,...Read more

ICU Management

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...Read more

ICU Management

Volume-16-issue-4-2016-1

2016 30 Nov

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ICU Management

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

ICU Management

Introduction-1

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