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JPEN. Journal of Parenteral and Enteral Nutrition

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https://www.readbyqxmd.com/read/29992630/human-milk-fortification-with-bovine-colostrum-is-superior-to-formula-based-fortifiers-to-prevent-gut-dysfunction-necrotizing-enterocolitis-and-systemic-infection-in-preterm-pigs
#1
Jing Sun, Yanqi Li, Xiaoyu Pan, Duc Ninh Nguyen, Anders Brunse, Anders M Bojesen, Silvia Rudloff, Martin S Mortensen, Douglas G Burrin, Per T Sangild
BACKGROUND: Fortification of donor human milk (DHM) is required for optimal growth of very preterm infants, but there are concerns of more gut dysfunction and necrotizing enterocolitis (NEC) when using formula-based fortifiers (FFs), especially soon after birth. Intact bovine colostrum (BC) is rich in nutrients and bioactive factors, and protects against NEC in preterm pigs. We hypothesized that fortification of DHM with BC is superior to FFs to prevent gut dysfunction and infections when provided shortly after preterm birth...
July 10, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/29992586/the-effect-of-additives-for-reflux-or-dysphagia-management-on-osmolality-in-ready-to-feed-preterm-formula-practice-implications
#2
Deborah S Levy, Erika Osborn, Kathryn A Hasenstab, Saira Nawaz, Sudarshan R Jadcherla
BACKGROUND: A common osmolality threshold for feedings is to stay <450 mOsm/kg for normal infants. Preterm formulas are frequently modified to improve growth, modify nutrition, and manage gastroesophageal reflux (GER) or dysphagia. Relationships between osmolality and additives to ready-to-feed preterm formulas are unclear. Our aims were to evaluate and compare the effects of caloric density, thickening agent recipes, and supplements to ready-to-feed preterm formula on osmolality...
July 10, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/29992576/physicochemical-compatibility-of-amiodarone-with-parenteral-nutrition
#3
Marta M Mediavilla, Andrea Molina, Lorena Navarro, Laura Grau, M Dolors Pujol, Joana Cardenete, Daniel Cardona, Pau Riera
BACKGROUND: Y-site administration of total parenteral nutrition (TPN) and drugs is frequently required in the intensive care setting. Amiodarone is commonly administered by continuous intravenous infusion and subject to be co-administered via a Y-site with TPN. The aim of this study is to determine the physicochemical stability of amiodarone Y-site administered with TPN. METHODS: Two standard TPN and 2 amiodarone solutions were designed. The 2 TPN differed in the lipid source (Lipofundin MCT/LCT® 20% or SMOFlipid® 20%)...
July 10, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/29959852/enteral-protein-supplementation-in-critically-ill-children-a-randomized-controlled-pilot-and-feasibility-study
#4
Daniela B Hauschild, Luna D A Oliveira, Mirelle S Farias, Eliana Barbosa, Nilzete L Bresolin, Nilesh M Mehta, Yara M F Moreno
BACKGROUND: Loss of muscle mass in critically ill children can negatively impact outcomes. The aims of this study were to conduct a pilot randomized control trial (RCT) to examine the difference in protein delivery and nitrogen balance in critically ill children with enteral protein supplementation vs controls. We also aimed to assess the feasibility, safety, and tolerance of the pilot trial. METHODS: This is a 3-arm RCT in critically ill children eligible for enteral nutrition (EN) therapy...
June 30, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/29959851/greater-nutrient-intake-is-associated-with-lower-mortality-in-western-and-eastern-critically-ill-patients-with-low-bmi-a-multicenter-multinational-observational-study
#5
Charlene Compher, Jesse Chittams, Therese Sammarco, Naoki Higashibeppu, Takashi Higashiguchi, Daren K Heyland
BACKGROUND: Little is known about the impact of feeding adequacy by NUTrition Risk in the Critically Ill (NUTRIC) groups in critically ill patients with body mass index (BMI) <20. Our purpose was to assess whether adequacy of protein/energy intake impacts mortality in patients with BMI <20 in Western/Eastern intensive care units (ICUs) and high/low NUTRIC groups. METHODS: Data from the International Nutrition Survey 2013-2014 were dichotomized into Western/Eastern ICU settings; BMI <20 or ≥20; and high (≥5)/low (<5) NUTRIC groups...
June 30, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/29959850/jpen-journal-club-36-quasirandomization
#6
Ronald L Koretz
No abstract text is available yet for this article.
June 30, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/29959847/thedacare-nutrition-risk-screen-improves-the-identification-of-non-intensive-care-unit-patients-at-risk-for-malnutrition-compared-with-the-nutrition-risk-screen-2002
#7
Lori L K Hartz, Bridget M Stroup, Tracy A Bibelnieks, Cheryl Shockey, Denise M Ney
BACKGROUND: Identification of patients at risk for malnutrition is important for timely nutrition intervention to reduce morbidity and mortality. OBJECTIVE: The objective of this study was to compare the sensitivity and specificity of the Nutrition Risk Screen (NRS) 2002 and the ThedaCare NRS to identify patients at risk for malnutrition. METHODS: The NRS 2002 and ThedaCare NRS were administered to 594 patients, aged 63 ± 16 years (mean ± SD), in the non-intensive care unit hospital setting...
June 30, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/29924393/what-happens-to-nutrition-intake-in-the-post-intensive-care-unit-hospitalization-period-an-observational-cohort-study-in-critically-ill-adults
#8
Emma J Ridley, Rachael L Parke, Andrew R Davies, Michael Bailey, Carol Hodgson, Adam M Deane, Shay McGuinness, D James Cooper
BACKGROUND: Little is currently known about nutrition intake and energy requirements in the post-intensive care unit (ICU) hospitalization period in critically ill patients. We aimed to describe energy and protein intake, and determine the feasibility of measuring energy expenditure during the post-ICU hospitalization period in critically ill adults. METHODS: This is a nested cohort study within a randomized controlled trial in critically ill patients. After discharge from ICU, energy and protein intake was quantified periodically and indirect calorimetry attempted...
June 20, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/29924386/successful-identification-of-anatomical-markers-and-placement-of-feeding-tubes-in-critically-ill-patients-via-camera-assisted-technology-with-real-time-video-guidance
#9
Paul E Wischmeyer, Michelle M McMoon, Nathan H Waldron, Elizabeth J Dye
BACKGROUND: Enteral feeding via feeding tube (FT) provides essential nutrition support to critically ill patients or those who cannot intake adequate nutrition via the oral route. Unfortunately, 1%-2% of FTs placed blindly at bedside enter the airway undetected (as confirmed by x-ray), where they could result in adverse events. Misplaced FTs can cause complications including pneumothorax, vocal cord injury, bronchopleural fistula, pneumonia, and death. X-ray is typically performed to confirm FT placement before feeding, but may delay nutrition intake, may not universally identify misplacement, and adds cost and radiation exposure...
June 20, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/29870086/accuracy-of-a-portable-indirect-calorimeter-for-measuring-resting-energy-expenditure-in-individuals-with-cancer
#10
Sarah A Purcell, Sarah A Elliott, Aoife M Ryan, Michael B Sawyer, Carla M Prado
BACKGROUND: Determining optimal caloric intake for an individual with cancer is complicated by metabolic changes that occur, namely, alterations in resting energy expenditure (REE). There is currently no validated clinically available equation or tool to measure energy expenditure in these patients. METHODS: Patients with newly diagnosed solid tumors underwent REE assessments using the FitMate GS portable indirect calorimeter and reference VMax metabolic cart; both used canopy hoods...
June 5, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/29870084/preventive-effect-of-antioxidative-nutrient-rich-enteral-diet-against-liver-ischemia-and-reperfusion-injury
#11
Tomoyuki Miyauchi, Yoichiro Uchida, Kentaro Kadono, Hirofumi Hirao, Junya Kawasoe, Takeshi Watanabe, Shugo Ueda, Kanta Jobara, Toshimi Kaido, Hideaki Okajima, Hiroaki Terajima, Shinji Uemoto
BACKGROUND: Liver ischemia and reperfusion injury (IRI) is a major problem associated with liver surgery. This study is aimed to compare the preventive effect of an antioxidative nutrient-rich enteral diet (Ao diet) with an ordinal enteral diet (control diet) against liver IRI. METHODS: The Ao diet was an ordinary diet comprising polyphenols (catechin and proanthocyanidin) and enhanced levels of vitamins C and E. Male C57BL/6 mice were fed the Ao or control diet for 7 days before ischemic insult for 60 minutes, followed by reperfusion for 6 hours...
June 5, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/29870076/comment-on-meta-analysis-of-early-enteral-nutrition-provided-within-24-hours-of-admission-on-clinical-outcomes-in-acute-pancreatitis
#12
LETTER
Sven M van Dijk, Olaf J Bakker, Marco J Bruno, Harry van Goor, Hjalmar C van Santvoort, Marc G Besselink
No abstract text is available yet for this article.
June 5, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/29846011/nutrition-risk-in-critically-ill-versus-the-nutritional-risk-screening-2002-are-they-comparable-for-assessing-risk-of-malnutrition-in-critically-ill-patients
#13
Cecilia Canales, Ali Elsayes, D Dante Yeh, Donna Belcher, Anna Nakayama, Caitlin M McCarthy, Nalin Chokengarmwong, Sadeq A Quraishi
BACKGROUND: Malnutrition influences clinical outcomes. Although various screening tools are available to assess nutrition status, their use in the intensive care unit (ICU) has not been rigorously studied. Our goal was to compare the Nutrition Risk in Critically Ill (NUTRIC) to the Nutritional Risk Screening (NRS) 2002 in terms of their associations with macronutrient deficit in ICU patients. METHODS: We performed a retrospective analysis to investigate the relationship between NUTRIC vs NRS 2002 and macronutrient deficit (protein and calories) in critically ill patients...
May 30, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/29846008/essential-fatty-acid-status-in-surgical-infants-receiving-parenteral-nutrition-with-a-composite-lipid-emulsion-a-case-series
#14
Alexandra N Carey, Coral Rudie, Paul D Mitchell, Bram P Raphael, Kathleen M Gura, Mark Puder
Infants requiring prolonged parenteral nutrition (PN) may receive intravenous (IV) lipid in the form of soybean oil, fish oil, or a composite lipid emulsion (CLE) (i.e., SMOFlipid®). Soybean oil lipid-dose restriction is a popular method of treating and reducing the risk of intestinal failure-associated liver disease (IFALD) that may influence dosing strategies of other IV fat emulsions. Here we present 4 infants receiving PN with SMOFlipid® as their IV lipid source and examine trends in essential fatty-acid status, triglycerides, and dosing strategy...
May 30, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/29846005/response-to-comment-on-meta-analysis-of-early-enteral-nutrition-provided-within-24-hours-of-admission-on-clinical-outcomes-in-acute-pancreatitis
#15
LETTER
Desheng Qi, Bo Yu, Jia Huang, Milin Peng
No abstract text is available yet for this article.
May 30, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/29846003/comparison-of-syringe-compression-force-between-enfit-and-legacy-feeding-tubes
#16
Manpreet S Mundi, Wanda Duellman, Lisa Epp, Jacob Davidson, Ryan T Hurt
BACKGROUND: Since initial report in 1972, misconnections continue to be an issue, especially in hospitalized patients with multiple access devices. A new small-bore connector standard (ENFit) has been proposed in order to minimize misconnections. METHODS: Commercially available finalized ENFit tubes of a variety of sizes (14 French [Fr] size, 18Fr, 20Fr, 24Fr, and low-profile) were obtained for current testing. Variety of commercially available formulas including blenderized tube feeding (BTF) products (Jevity 1 Cal, Abbott Nutrition, Abbott Park, IL; Nourish, Functional Formularies, Centerville, OH; Real Food Blends, Chesterton, IN) were tested...
May 30, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/29808927/42nd-aspen-president-s-address-nutrition-support-integrating-technology-and-clinical-expertise
#17
M Molly McMahon
No abstract text is available yet for this article.
May 29, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/29799136/nitrogen-balance-during-venovenous-extracorporeal-membrane-oxygenation-support-preliminary-results-of-a-prospective-observational-study
#18
Stacy Pelekhaty, Samuel M Galvagno, Eric Hochberg, Daniel L Herr, James H Lantry, Zachary N Kon, Kristopher B Deatrick, Jay Menaker
BACKGROUND: Current literature is insufficient to support specific guidelines for estimating nutrition needs during extracorporeal membrane oxygenation (ECMO). The purpose of this single-center observational study was to investigate protein catabolism during venovenous (VV) ECMO support and assess whether current nutrition recommendations were adequate. METHODS: All patients admitted to the Lung Rescue Unit between November 2016 and June 2017 were screened for eligibility...
May 25, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/29799129/jpen-journal-club-35-selective-data-presentation
#19
Ronald L Koretz
No abstract text is available yet for this article.
May 25, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/29786877/morphomic-malnutrition-score-a-standardized-screening-tool-for-severe-malnutrition-in-adults
#20
Christopher Lee, Erica Raymond, Brian A Derstine, Joshua M Glazer, Rebecca Goulson, Avinash Rajasekaran, Jill Cherry-Bukowiec, Grace L Su, Stewart C Wang
BACKGROUND: Granular diagnostic criteria for adult malnutrition are lacking. OBJECTIVE: This study uses analytic morphomics to define the Morphomic Malnutrition Score (MMS), a robust screening tool for severe malnutrition. METHODS: The study population (n = 643) consisted of 2 cohorts: 1) 124 emergency department patients diagnosed with severe malnutrition by a registered dietitian (RD) and an available computed tomography (CT) scan within 2 days of RD evaluation, and 2) 519 adult kidney donor candidates to represent a healthy cohort...
May 22, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
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