Search Tag: obesity

ICU Management

Obesity and Critical Care Nutrition

2022 27 Sep

A panel discussion with an international group of experts in the care of obese patients in the critical care setting evaluated best practices in malnutrition screening and assessment, estimation of energy needs for obese patients, the risks and management of sarcopenic obesity, the importance of tailored nutrition, and the role of immunonutrition. ... Read more

ICU Management

Pain Management Specificities in Critically Ill Patients With Obesity

2022 25 May

In patients with obesity, standard, non-weight-based dosing, or weight-based dosing using either ideal body weight or adjusted body weight, is appropriate to limit the risk of overdosing. The prevalence of obesity is increasing worldwide (Schetz et al. 2019). This trend is confirmed in the Intensive Care Unit (ICU) where patients with obesity... Read more

ICU Management

Long COVID and Recovery Following Hospitalisation

2022 10 May

More than 500 million cases of COVID-19 have been reported worldwide. Patients infected with COVID-19 are at a higher risk of persisting health impairments six months after hospital discharge associated with reduced physical function and health and quality of life. It is thus important to understand the long-term trajectory of recovery from COVID-19.... Read more

ICU Management

Drug Dosing Recommendations for Obese COVID-19 Patients

2022 21 Mar

Obesity is highly prevalent in patients who are hospitalised with COVID-19. It is a widely recognised risk factor for severe COVID-19 infection with a greater risk for mortality compared with non-obese patients. With each 1 kg/m 2 increase in body mass index, the risk for severe infection increases by 9% and mortality by 6%.  While there are... Read more

ICU Management

Obesity and Nutrition in Critical Illness

2019 26 Sep

The role of nutrition in obese critically ill patients and an overview of the clinical guidelines for nutrition provision in this patient population. Introduction   The World Health Organization defines obesity as an excess of abdominal fat that poses an increased risk to health. Characterised by a body mass index (BMI) ≥30 kg/m2, obesity... 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

Study: obesity improves short-term survival in sepsis

2019 16 Apr

In a large cohort study of 55,038 adults hospitalised with sepsis, short-term mortality (death or hospice) was lower in overweight and obese patients compared with those with normal body mass indices (both unadjusted and adjusted analyses). These findings highlight the need for well-conducted prospective clinical trials that assess obesity’s impact... Read more

ICU Management

New Dosing Models Increase Safety of Remifentanil

2017 04 Jul

New dosing models have been developed that can provide the scientific basis for more accurate administration of remifentanil, an opioid commonly used during surgery in children and obese patients. The models are described in studies published in Anesthesiology. Currently, the dosing of the drug is based on average-sized adult patients but this can... Read more

ICU Management

The Art of Neurotensin Measurement

2016 15 Jul

In the latest issue of  BioCentury Innovations   Andreas Bergmann , Founder & CEO of sphingotec, and Mark B. Evers, co-author of the recently published Nature paper “An obligatory role for neurotensin in high-fat-diet-induced obesity”, share their opinion on the role of neurotensin as prognostic marker for obesity, the future relevance of neurotensin... Read more

ICU Management

ESA2016: Who Benefits from Intensive Care?

2016 14 Jun

When patients and families are increasingly questioning clinical decisions, facts are important when it comes to admitting patients to intensive care. It is vital that critical care physicians have good knowledge of the important prognostic indicators, and use them as foundations for their decisions to admit, said Saxon Ridley, from Glan Clwyd Hospital... Read more