Search Tag: indirect calorimetry

ICU Management

Addressing Malnutrition in Critically Ill Patients

2019 26 Sep

Baxter launches a new parenteral nutrition formulation designed to meet the need for higher protein provision in Europe and signs a global partnership with COSMED to commercialise Q-NRG+, a metabolic monitoring device that utilises indirect calorimetry technology.  Malnutrition in the ICU  Around 20 to 50% of hospital patients, including those... 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

Objective Malnutrition Diagnosis and Personalised Nutrition Delivery in the ICU

2019 26 Sep

Poor ICU nutrition delivery remains a challenge worldwide. Objective malnutrition diagnosis and personalisation of nutrition delivery may be one way of addressing this problem. Modern, and increasingly expensive ICU care now allows prolonged survival from illness and injury by providing life-sustaining support for extended periods of time,... 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

Indirect calorimetry still the best REE assessment tool for ventilated patients

2018 13 Aug

Indirect calorimetry (IC) measurement is considered the gold standard for the assessment of resting energy expenditure (REE). It is based on the measurement of oxygen and carbon dioxide consumption (VO2 and VCO2, respectively). Where IC is not possible, REE derived from VCO2 obtained from the ventilator may be the best alternative. However, new... Read more

ICU Management

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