Tag: nutrition

Upvote Story 15
In this multicentre study, we could not demonstrate any difference between Lp299 and CHX used in oral care procedures regarding their impact on colonisation with emerging potentially pathogenic enteric bacteria in the oropharynx and trachea. Potentially pathogenic enteric bacteria not present at inclusion were identified in oropharyngeal samples from 29 patients in the CHX group and in 31 samples in the probiotic group. One hundred... Read More | Comment
Upvote Story 12
This article explores the potential role of nutrition and EMS in maintaining muscle health in critical illness. Within this article, we will evaluate fundamental concepts of muscle wasting and evaluate the effects of EMS, as well as the effects of nutrition therapy on muscle health and the clinical and functional outcomes in critically ill patients. We will also highlight current research gaps in order to... Read More | Comment
Upvote Story 4
In this compelling episode, Professor Paul Wischmeyer, shares some of his experiences as a patient in the ICU. Since he was 15 he has endured multiple hospitalizations and ICU stays for his inflammatory bowel disease. This has given him an excellent vantage point to notice what we as ICU professionals do and say to our patients. And from Paul’s perspective we could do much better.... Read More | Comment
Upvote Story 6
Critical illness can disrupt local and systemic mechanisms that protect against upper gastrointestinal bleeding, a condition that may be associated with increased mortality, particularly among patients receiving extracorporeal life support. On the basis of randomized trials performed over a period of 40 years,3 most guidelines recommend preventive therapy with either histamine H2–receptor antagonists or proton-pump inhibitors (PPIs) for patients in the intensive care unit (ICU)... Read More | Comment
Upvote Story 6
In patients with acute lung injury, compared with full enteral feeding, a strategy of initial trophic enteral feeding for up to 6 days did not improve ventilator-free days, 60-day mortality, or infectious complications but was associated with less gastrointestinal intolerance. Baseline characteristics were similar between the trophic-feeding (n = 508) and full-feeding (n = 492) groups. The full-feeding group received more enteral calories for the... Read More | Comment
Upvote Story 12
A valuable resource for certification preparation and the daily nutrition care of pediatric patients focusing on the importance of nutrition to the growth and development of children. Written with an interdisciplinary evidence-based approach, it is designed to meet the educational needs of any discipline involved in the nutrition care of pediatric patients. This edition features 37 fully revised and updated chapters and is designed to... Read More | Comment
Upvote Story 11
Following the new ESPEN Standard Operating Procedures, the previous guidelines to provide best medical nutritional therapy to critically ill patients have been updated. These guidelines define who are the patients at risk, how to assess nutritional status of an ICU patient, how to define the amount of energy to provide, the route to choose and how to adapt according to various clinical conditions. When to... Read More | Comment
Upvote Story 8
This text provides a review of the current knowledge in both the mechanics of nourishing the critically ill and the metabolic and immunological roles nutrients play. In-depth chapters discuss disease-related malnutrition as distinct from under-or-over nourishment and the impact of nourishment in either form of malnutrition. The appropriate timing and indications for nutrition support are provided as well as advanced techniques for improving practice. A... Read More | Comment
Upvote Story 15
Recent medical history has largely viewed our bacterial symbionts as pathogens to be eradicated rather than essential partners in optimal health. However, one of the most exciting scientific advances in recent years has been the realization that commensal microorganisms (our microbiome) play vital roles in our physiology as humans in nutrition, vitamin synthesis, drug metabolism, protection against infection, and recovery from illness. Recent data show... Read More | Comment
Upvote Story 12
Intravenous Fish Oil (Omegaven) approved by FDA for use in total parenteral nutrition (TPN) in pediatric patients in the United States. Omegaven 10% Emulsion is a fish oil emulsion administered intravenously in patients who require parenteral nutrition lipid supplementation and cannot tolerate available lipid emulsions. In 2001, Children’s Hospital Boston started doing research on TPN to find out what part of TPN was causing liver... Read More | Comment
Upvote Story 4
Although there are limited studies investigating the safety and efficacy of an intermittent rather than continuous feeding regimen in critically ill adults, there are several theoretical advantages. Further studies should investigate these and in the meantime, feeding regimens should be devised based on individual patient factors. Few studies have investigated the effect of intermittent feeding over continuous feeding. Read More | Comment
Upvote Story 5
Priorities for clinical research in the field of nutritional management of critically ill patients were suggested, with the prospect that different nutritional interventions targeted to the appropriate patient population will be examined for their effect on facilitating recovery and improving survival in adequately powered and properly designed studies, probably in conjunction with physical activity. Recent randomized controlled trials (RCTs) have challenged several concepts, including the... Read More | Comment
Upvote Story 6
Thiamine deficiency may occur in critically ill patients in case of increased glucose metabolism (i.e., in septic states or post-surgical phases), sudden or aggressive nutrition delivery to malnourished patients (refeeding syndrome), or excessive removal (as during continuous renal replacement therapy, especially in case of high-dose prescription). Pediatric critically ill patients, especially in case of infection, have shown a thiamine deficiency incidence of about 25% upon... Read More | Comment
Upvote Story 12
More than 48 million people in the U.S. undergo surgery each year, and for decades the focus has been on making sure patients do not consume any food or drinks in the hours leading up to the surgery. Yet, 1 in 3 patients are malnourished or at risk of malnutrition when they’re admitted to the hospital, and many are unaware of it. New research from... Read More | Comment
Upvote Story 7
Pressure ulcers in ICU patients: Incidence and clinical and epidemiological features: A multicenter study in southern Brazil. The main objective is to evaluate the incidence and risk factors of pressure ulcers (PU) in adult patients admitted to intensive care units (ICUs), as well as the outcome (including ICU and hospital mortality) of these patients. We evaluated 332 patients, 52.1% male, mean age 63.1 years. The... Read More | Comment