Journal ArticleDOI
Nutrition and Nutritional Support in Critically Ill Patients
Diana S. Dark,Susan K. Pingleton +1 more
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TLDR
The use of intravenous nutritional support has increased dramatically in the last 20 years, although it is not without controversy, administration of nutritional support is common practice in hospitalized patients including critically ill patients.Abstract:
The use of intravenous nutritional support has increased dramatically in the last 20 years. Although it is not without controversy, administration of nutritional support is common practice in hospitalized patients including critically ill patients. Malnutrition continues to be reported in a significant number of hospitalized patients. The incidence of malnutrition in critically ill patients may be even higher than that reported in hospitalized patients overall. The consequences of malnutrition in a critically ill patient may be severe. Nutritional assessment and nutritional support can present special challenges to the intensivist. Techniques of nutritional assessment in critically ill patients are evaluated. Guidelines for the determination of the nutritional needs of these patients are outlined. Methods of delivery of nutritional support in critically ill patients are reviewed. Complications of nutritional support are discussed.read more
Citations
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Journal ArticleDOI
Canadian clinical practice guidelines for nutrition support in mechanically ventilated, critically ill adult patients
TL;DR: Significant potential benefit from implementing evidence-based clinical practice guidelines for nutrition support in critically ill adults is improved clinical outcomes of critically ill patients (reduced mortality and ICU stay) and potential harms of implementing these guidelines include increased complications and costs related to the suggested interventions.
Journal ArticleDOI
Does enteral nutrition compared to parenteral nutrition result in better outcomes in critically ill adult patients? A systematic review of the literature
Leah Gramlich,Krikor Kichian,Jaime C. Pinilla,Nadia Rodych,Rupinder Dhaliwal,Daren K. Heyland +5 more
TL;DR: The use of EN as opposed to PN results in an important decrease in the incidence of infectious complications in the critically ill and may be less costly.
Journal ArticleDOI
Outcomes in Critically Ill Patients Before and After the Implementation of an Evidence-Based Nutritional Management Protocol
Juliana Barr,Juliana Barr,Marketa Hecht,Kara Flavin,Amparo Khorana,Michael K. Gould,Michael K. Gould +6 more
TL;DR: An evidence-based nutritional management protocol increased the likelihood that ICU patients would receive enteral nutrition, and shortened their duration of mechanical ventilation, and was associated with a reduced risk of death in those patients studied.
Journal ArticleDOI
Nutrition support in the critical care setting: current practice in canadian ICUs--opportunities for improvement?
Daren K. Heyland,Deborah Schroter-Noppe,John W. Drover,Minto Jain,Laurie Keefe,Rupinder Dhaliwal,Andrew G. Day +6 more
TL;DR: A significant number of critically ill patients did not receive any form of nutrition support for the study period, and those that did receive nutrition support did not meet their prescribed energy or protein needs, especially earlier in the course of their illness.
Journal ArticleDOI
Nutritional support in the critically ill patient: A critical review of the evidence
TL;DR: In this paper, the relationship between nutritional support and infectious morbidity and mortality in the critically ill patient is examined and evidence-based recommendations are made, and the authors conclude that nutritional support can change nutritional outcomes (e.g., amino acid profile, weight gain, nitrogen balance).
References
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Journal ArticleDOI
Oxygen toxicity, oxygen radicals, transition metals and disease
Journal ArticleDOI
What is subjective global assessment of nutritional status
Allan S. Detsky,McLaughlin,Jeffrey P. Baker,Johnston N,S Whittaker,Rena A. Mendelson,K.N. Jeejeebhoy +6 more
TL;DR: It is concluded that SGA can easily be taught to a variety of clinicians (residents, nurses), and that this technique is reproducible.
The Biology of Human Starvation.
Ancel Keys,Josef Brozek,Austin Henschel,Olaf Mickelsen,Henry Longstreet Taylor,Ernst Simonson,Angie Sturgeon Skinner,Samuel M. Wells. +7 more
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Starvation in man.
TL;DR: In this article, it was shown that decreased levels of active T3 may play a role by sparing otherwise obligated calories by decreasing metabolic needs, but this can be nullified by amino acid or protein supplementation.