Search Tag: parenteral nutrition

ICU Management

Tight-blood-glucose-control-without-early-parenteral-nutrition

2023 03 Oct

Randomised, controlled trials conducted in ICUs show mixed results regarding the benefits and risks of tight blood glucose control. This inconsistency in findings may be attributed to differences in the administration of early parenteral nutrition and the occurrence of insulin-induced severe hypoglycaemia.   In this study, patients admitted to...Read more

ICU Management

Avoiding-harm-when-feeding-critically-ill-patients

2023 04 Jul

Nutrition in critical illness has become a significant area of focus in recent decades. Initially, early and adequate feeding was believed to enhance outcomes by promptly ensuring the patient reaches full energy target. However, this perspective was challenged after the release of the EPaNIC trial in 2011.   The EPaNIC trial observed worse outcomes...Read more

ICU Management

Isicem23-low-vs-standard-calorie-and-protein-feeding

2023 22 Mar

Critical illness requiring organ support is associated with high mortality and prolonged recovery. The acute phase is characterised by anorexia, metabolic disorders, endocrine dysfunction, and hypercatabolism with muscle wasting. Nutritional support is essential during this phase. Calorie and protein deficits have been linked to higher risks of healthcare-associated...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

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

Global-study-most-icu-patients-underfed

2017 08 Aug

A large international multicentre cohort study shows that most of the patients are underfed during their ICU stay. In their findings published in the journal Clinical Nutrition, researchers say most of the patients in intensive care are receiving the same amount of calories regardless of their condition, patient's well-being is not satisfied, and delayed...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

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

Parenteral-nutrition-avoids-energy-deficits

2014 31 Aug

Critical illness is characterised by nutritional and metabolic disorders, resulting in increased muscle catabolism, fat-free mass loss, and hyperglycaemia. The objective of nutritional support is to limit fat-free mass loss, which has negative consequences on clinical outcomes and recovery. Early enteral nutrition is recommended by current guidelines...Read more