Search Tag: enteral nutrition

ICU Management

Clinical Nutrition Issues in 2022

2022 13 Sep

Critically ill patients are fed with amounts below the recommendations of international guidelines. To overcome large energy deficits, supplemental parenteral nutrition (SPN) to top up enteral nutrition (EN) has been proposed. This strategy is included in both the American (ASPEN) and European (ESPEN) clinical nutrition guidelines.  SPN has demonstrated... Read more

ICU Management

Enteral Nutrition Practices in ICU Patients With Circulatory Shock

2022 14 Jun

Approximately one-third of patients admitted to the ICU are in circulatory shock, which increases the risk of mortality. Death from circulatory shock is preceded by multiple organ dysfunction syndrome with a high mortality rate of over 80%. Loss of gut epithelial barrier function contributes to gut-derived proinflammatory immune responses that contribute... 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

Fatty acids and enteral nutrition in the critically ill

2019 10 Jan

Dutch researchers performed a systematic review and meta-analysis of randomised controlled trials of fish oil-containing enteral nutrition addressing relevant clinical outcomes in critically ill patients. Based on the results, they conclude that enteral fish oil supplementation cannot be recommended for these patients as strong scientific evidence... Read more

ICU Management

Need to improve enteral feeding practice in ICUs

2018 27 Nov

Early enteral nutrition (EEN), typically started within 48 hours after ICU admission, is recommended to be superior over delayed enteral nutrition and parenteral nutrition. However, based on observational studies, there is a notable gap between the EEN recommendations and the actual feeding performance in ICUs. Arthur van Zanten, MD, PhD, Department... Read more

ICU Management

What’s the Benefit of Enteral Nutrition? Updated Review

2016 24 May

Gunnar Elke, MD, of the Department of Anaesthesiology and Intensive Care Medicine, University Medical Center Schleswig-Holstein and colleagues have published an updated systematic review and meta-analysis of randomised controlled trials (RCTs) of enteral compared to parenteral nutrition in critically ill patients. The review includes the data from the... Read more

ICU Management

Nutrition Therapy - ASPEN/SCCM Updated Guidelines

2016 19 Jan

The 2009 American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) nutrition therapy guidelines for critically ill patients have been updated by a multidisciplinary committee of experts in clinical nutrition and are published by ASPEN and the Society of Critical Care Medicine (SCCM) in the Journal of Parenteral and Enteral Nutrition . The... Read more

ICU Management

Standardised Feeding Approach Improves NICU Babies' Growth

2015 05 Mar

Researchers at Nationwide Children’s Hospital (OH, USA) have created a new standardised approach for feeding infants in the neonatal intensive care unit (NICU). The guidelines published in the Journal of Parenteral and Enteral Nutrition helps babies attain full oral feeds sooner, improves their growth and sends them home sooner. Many infants have... Read more

ICU Management

Vitamin D Deficiency Linked to Longer Respiratory Support

2015 08 Jan

Results of a new study show that vitamin D status could influence the duration of respiratory support needed for surgical intensive care patients. The findings are published in the OnlineFirst version of the Journal of Parenteral and Enteral Nutrition (JPEN), the research journal of the American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.).... Read more

ICU Management

Volume-Based Feeding For ICU Patients

2014 02 Sep

Although enteral nutrition (EN) or the feeding of patients through a tube is a common practice in an intensive care unit, the problem of underfeeding remains. A usual practice is to have a certain amount of feeding per hour but this is often interrupted by procedures, tests, or emergencies. A better way to reduce underfeeding in ICU patients is to... Read more