How to Improve Worldwide Early Enteral Nutrition Performance in ICUs?

How to Improve Worldwide Early Enteral Nutrition Performance in ICUs?

Early enteral nutrition (EEN), typically started within 48 h after ICU admission, is recommended to be superior over delayed enteral nutrition and parenteral nutrition. The ESICM Working Group on Gastrointestinal Function... read more

Dosing Adjuvant Vitamin C in Critically Ill Patients Undergoing CRRT

Dosing Adjuvant Vitamin C in Critically Ill Patients Undergoing CRRT

We read with great interest the recent letter to Critical Care by Marik and Hooper. Vitamin C is increasingly recognized as a crucial compound to alleviate morbidity in critically ill patients. Vitamin C concentrations, however,... read more

Principles of Fluid Management and Stewardship in Septic Shock

Principles of Fluid Management and Stewardship in Septic Shock

There are only four major indications for fluid administration in the critically ill: resuscitation, maintenance, replacement and nutrition (enteral or parenteral). In this review, a conceptual framework is presented looking... read more

Nutrition in Surgery Podcast

Changing Care to Improve Surgical Outcomes. In this mini-series of six podcasts sponsored by Abbott Nutrition, the DCRI's Paul Wischmeyer, MD, EDIC, welcomes distinguished scientists and clinicians from the U.S. and the U.K.... read more

The Patient, The Whole Patient and Nothing But The Patient

The Patient, The Whole Patient and Nothing But The Patient

In this short opinion piece, career and consumer advisor Belinda MacLeod-Smith challenges us to consider crucial elements of whole patient care, and how they can be impacted by limiting factors. Caring for someone with ongoing,... read more

Can probiotics be an alternative to chlorhexidine for oral care in the mechanically ventilated patient?

Can probiotics be an alternative to chlorhexidine for oral care in the mechanically ventilated patient?

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... read more

Exploring the Potential Effectiveness of Combining Optimal Nutrition With Electrical Stimulation to Maintain Muscle Health in Critical Illness

Exploring the Potential Effectiveness of Combining Optimal Nutrition With Electrical Stimulation to Maintain Muscle Health in Critical Illness

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,... read more

Never Underestimate the Simple Things We Do To Our Patients

Never Underestimate the Simple Things We Do To Our Patients

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... read more

Proton-Pump Inhibitor Prophylaxis in the ICU

Proton-Pump Inhibitor Prophylaxis in the ICU

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... read more

Initial Trophic vs Full Enteral Feeding in Patients With Acute Lung Injury

Initial Trophic vs Full Enteral Feeding in Patients With Acute Lung Injury

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... read more

The A.S.P.E.N. Pediatric Nutrition Support Core Curriculum

The A.S.P.E.N. Pediatric Nutrition Support Core Curriculum

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... read more

ESPEN Guideline on Clinical Nutrition in the ICU

ESPEN Guideline on Clinical Nutrition in the ICU

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,... read more

Probiotic and Synbiotic Therapy in the Critically Ill

Probiotic and Synbiotic Therapy in the Critically Ill

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... read more

Intravenous Fish Oil (Omegaven) Approved by FDA

Intravenous Fish Oil (Omegaven) Approved by FDA

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... read more