The Intensive Care Medicine Research Agenda in Nutrition and Metabolism

The Intensive Care Medicine Research Agenda in Nutrition and Metabolism

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... read more

The 11th Pitfall: Thiamine Deficiency

The 11th Pitfall: Thiamine Deficiency

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... read more

New research shows why nutrition should be back on the table for surgical patients

New research shows why nutrition should be back on the table for surgical patients

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... read more

Pressure ulcers in ICU patients: Incidence and clinical and epidemiological features

Pressure ulcers in ICU patients: Incidence and clinical and epidemiological features

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... read more

Very high intact-protein formula successfully provides protein intake according to nutritional recommendations in overweight critically ill patients

Very high intact-protein formula successfully provides protein intake according to nutritional recommendations in overweight critically ill patients

Enteral feeding with VHPF (8 g/100 kcal) resulted in higher protein intake and plasma amino acid concentrations than an isocaloric SHPF (5 g/100 kcal), without an increase in energy intake. This VHPF facilitates feeding according... read more

The Role of Nutrition in Strong for Surgery

Host Paul Wischmeyer is joined by Thomas Varghese, MD, section head of General Thoracic Surgery at the University of Utah, to discuss the role of nutrition in the American College of Surgeons’ Strong for Surgery initiative.... read more

Trophic or Full Nutritional Support?

Trophic or Full Nutritional Support?

A two-phase approach for nutritional support may more appropriately account for the physiologic changes during critical illness than one-phase approach. Further evidence is awaited for the optimal protein amount during critical... read more

Measuring and Monitoring Lean Body Mass in Critical Illness

Measuring and Monitoring Lean Body Mass in Critical Illness

Methods to monitor lean body mass in the ICU are under constant development, improving upon bedside usability and offering new modalities to measure. This provides clinicians with valuable markers with which to identify patients... read more

Oxygen: Savior or Devil in a Green Dress?

Oxygen: Savior or Devil in a Green Dress?

If you ask any small child what doctors do or what happens in a hospital, you'll probably get some variation of "they make sick people better." Were you to ask the same question of one of those doctors or someone working... read more

Excess dietary zinc worsens Clostridium difficile infection

Excess dietary zinc worsens Clostridium difficile infection

The consumption of dietary supplements and cold therapies containing high concentrations of zinc is now being called into question, following research that suggests it may worsen Clostridium difficile infection. The findings... read more

When Should Nutritional Support Be Implemented in a Hospitalized Patient?

At the time of admission to the hospital, malnutrition is already present in over 20% of patients. Hospitalized patients are particularly susceptible to developing malnutrition because of increased catabolic states in acute... read more

Stress Ulcer Prophylaxis in ICU Patients Receiving Enteral Nutrition

Stress Ulcer Prophylaxis in ICU Patients Receiving Enteral Nutrition

Our results suggested that in patients receiving enteral feeding, pharmacologic SUP is not beneficial and combined interventions may even increase the risk of nosocomial pneumonia. We searched PubMed, Embase, and the Cochrane... read more

Consensus Statement on Nutrition Screening and Therapy Within a Surgical Enhanced Recovery Pathway

Consensus Statement on Nutrition Screening and Therapy Within a Surgical Enhanced Recovery Pathway

Perioperative malnutrition has proven to be challenging to define, diagnose, and treat. Despite these challenges, it is well known that suboptimal nutritional status is a strong independent predictor of poor postoperative... read more

Enteral vs Parenteral Nutrition in Critical Care Requiring Mechanical Ventilation

Enteral vs Parenteral Nutrition in Critical Care Requiring Mechanical Ventilation

Enteral feeding was not superior to parenteral feeding for early nutritional support in critically ill patients receiving mechanical ventilation and vasopressor support for shock, according to the results of a study published... read more