Search Tag: Nutrition
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
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
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
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
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
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
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
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
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
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
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
2016 08 Nov
Solving the conundrum of underfeeding of critically ill patients in practice while guidelines recommend generous feeding is the subject of an article in F1000Research, by L. John Hoffer, Lady Davis Institute for Medical Research, Jewish General Hospital, McGill University, Canada and Bruce Bistrian, Beth Israel Deaconess Medical Center, Harvard Medical...Read more
2016 27 Sep
The enteral route is commonly accepted as the first choice for providing nutrition to patients in the ICU with stable haemodynamics and a functional gastrointestinal (GI) tract. However, there is wide uncertainty regarding safe enteral nutrition in patients with critical pathology in the abdomen. In the current review we address different abdominal...Read more
2016 30 May
This review will briefly discuss the potential role of nutrition and the schedule of delivery on reducing skeletal muscle wasting in early critical illness. Increasing numbers of patients are surviving critical illness due to treatment advances in the early management of acutely unwell patients. This survival advantage is reflected as an increase...Read more
2016 11 Mar
Nutrition in Critical Care Patients in the critical care setting are at risk of malnutrition (Heyland et al. 2011). The provision of nutrition support (enteral or parenteral) to critically ill patients is vital, but achieving the optimum quantity and balance is a contentious topic. There are two major and contradictory perspectives with respect...Read more
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
2015 27 Jul
150 nutrition experts and key opinion leaders in the field of pediatrics from 26 countries gathered in China in May 24-27th to share their views and opinions on “Protein in Neonatal and Infant Nutrition: Recent Updates”. This 86th Nestle Nutrition Institute workshop brought together world-leading experts to discuss the new development in protein in...Read more
2015 21 Jul
A.S.P.E.N. is a new training series focusing on fluids, electrolytes and acid-base. If you need a better understanding of fluid and electrolyte management and if acid-base frequently puzzles you, then this training series is for you. Learn how to diagnose and treat the various extracellular and intracellular electrolyte disorders in your nutrition support...Read more
2015 05 Oct
INDC 2015 – The International Nutrition & Diagnostics Conference 2015 is an international forum for scientific discussion focused on understanding the relationship and connections between nutrition and clinical diagnostics. The aim of this multidisciplinary conference is to bridge the gaps between the specialists and fields of science as diverse...Read more
2015 12 Jan
Blueberries can help people control pre-hypertensive and stage 1-hypertensive blood pressure. Florida State University researchers found that daily consumption of blueberries results in dramatic reductions of systolic and diastolic blood pressure. The study was published in the Journal of the Academy of Nutrition and Dietetics and surveyed 48 women...Read more