keyword
https://read.qxmd.com/read/38546863/-evaluation-of-the-role-of-an-advanced-practice-dietitian-in-the-intensive-care-unit
#1
JOURNAL ARTICLE
Gioia Vinci, Reto Stocker
BACKGROUND: In Swiss intensive care units (ICUs), nutritional management is hardly or not at all supported or supervised by dietitians. Nutritional management in the ICU is mainly performed by ICU nursing staff and intensive care specialists. In 2022, the role of an advanced practice dietitian (APD) was newly defined, created, and implemented in a Swiss ICU as part of a pilot project. In contrast to other countries, APDs are still scarce in Switzerland. Evaluation of the APD role is essential to further define the position and adapt it to needs...
March 28, 2024: Medizinische Klinik, Intensivmedizin und Notfallmedizin
https://read.qxmd.com/read/38532586/-evaluation-of-safety-of-early-enteral-nutrition-in-patients-with-severe-intra-abdominal-infection-and-intestinal-fistulas
#2
JOURNAL ARTICLE
T Xie, C Chen, D L Yang, W Y Wang, F Chen, Y N He, P F Wang, Y S Li
Objective: To evaluate the safety of early enteral nutrition (EEN) support in patients with severe intra-abdominal infection and intestinal fistulas. Methods: This was a retrospective cohort study. We collected relevant clinical data of 204 patients with severe intra-abdominal infection and intestinal fistulas who had been managed in the No. 1 Department of General Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University between 1 January 2017 and 1 January 2020. The patients were allocated to EEN or delayed enteral nutrition (DEN) groups depending on whether enteral nutrition had been instituted within 48 hours of admission to the intensive care unit...
March 25, 2024: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/38520657/nutrition-considerations-for-patients-with-persistent-critical-illness-a-narrative-review
#3
REVIEW
Elizabeth Viner Smith, Kate Lambell, Oana A Tatucu-Babet, Emma Ridley, Lee-Anne Chapple
Critically ill patients experience high rates of malnutrition and significant muscle loss during their intensive care unit (ICU) admission, impacting recovery. Nutrition is likely to play an important role in mitigating the development and progression of malnutrition and muscle loss observed in ICU, yet definitive clinical trials of nutrition interventions in ICU have failed to show benefit. As improvements in the quality of medical care mean that sicker patients are able to survive the initial insult, combined with an aging and increasingly comorbid population, it is anticipated that ICU length of stay will continue to increase...
March 23, 2024: JPEN. Journal of Parenteral and Enteral Nutrition
https://read.qxmd.com/read/38518044/analysis-and-risk-factors-of-deep-vein-catheterization-related-bloodstream-infections-in-neonates
#4
JOURNAL ARTICLE
Yan Zhang, Shufang Li, Yanmin Li, Jiaojiao Zheng, Yaping Dong
To investigate the incidence, risk factors, and pathogenic characteristics of catheter-related bloodstream infection caused by peripherally inserted central venous catheter in neonates, and to provide references for reducing the infection rate of peripherally inserted central venous catheter. The clinical data of 680 neonates who underwent peripherally inserted central catheter (PICC) in the neonatal intensive care unit from June 2020 to June 2023 were retrospectively analyzed. The risk factors and independent risk factors of catheter-related bloodstream infection caused by PICC were determined by univariate and multivariate analysis, respectively...
March 22, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38495407/correlation-between-blood-albumin-and-hospital-death-and-long-term-death-in-icu-patients-with-heart-failure-data-from-the-medical-information-mart-for-intensive-care-iii-database
#5
JOURNAL ARTICLE
Xin Wan, Ling Gu, Huogen Liu, Hailin Shu, Ying Liu, Rijin Huang, Yundi Shi
BACKGROUND: Elevated circulating levels of albumin (ALB) are often associated with improved prognosis in patients with heart failure (HF). However, investigations of its association with hospital death and long-term death in HF patients in the intensive care unit (ICU) are limited. AIM: We examined whether increased blood ALB levels (first value at admission and maximum and minimum values in the ICU) were related to a greater risk of hospital death and long-term death in ICU patients with HF...
2024: American Journal of Cardiovascular Disease
https://read.qxmd.com/read/38487150/bolus-versus-continuous-enteral-feeding-for-critically-ill-patients-a-systematic-review-and-meta-analysis
#6
REVIEW
Ahmed M Abdelbaky, Wael G Elmasry, Ahmed H Awad
Enteral feeding is a crucial aspect of nutritional support for critically ill patients. However, the optimal feeding approach, whether bolus or continuous, remains a subject of debate. This systematic review and meta-analysis aimed to compare the outcomes of bolus feeding and continuous enteral feeding in critically ill patients. A systemic search was carried out in PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL) Ultimate, Web of Science, Scopus, and Google Scholar to identify relevant studies...
February 2024: Curēus
https://read.qxmd.com/read/38481740/case-report-foetal-gastroschisis-with-ideal-pregnancy-outcomes-under-multidisciplinary-treatment-management
#7
Shuhua Liu, Jingyu Qian, Qiuru Li, Dehong Liu, Bin Zhang, Xianxia Chen
BACKGROUND: Gastroschisis has increased in recent years, however, complicated gastroschisis is associated with higher mortality, as well as higher health care costs and disease burdens from short- and long-term complications. CASE INTRODUCTION: A woman aged 25 years old at 37 + 1 weeks gestation (gravida 2; para 0) was admitted to the hospital because of foetal gastroschisis. Targeted quaternary ultrasound performed at our hospital showed that 34 mm of the abdominal wall was interrupted continuously, an intestinal echo with a range of approximately 88 × 50 mm was seen bulging outwards the local area close to the intestinal wall showed a 34 × 23 m anecho, and the foetus was measuring 2 weeks smaller than expected...
2024: Frontiers in Pediatrics
https://read.qxmd.com/read/38457270/laparoscopic-treatment-of-a-patient-with-multiple-organ-dysfunction-syndrome-induced-by-necrotising-fasciitis
#8
JOURNAL ARTICLE
Guangyao Li, Yingyi Zhang, Tao Sun, Lin Zhou, Zhe Fan
Necrotising fasciitis (NF) is an uncommon surgical emergency that threatens the life and health of patients. We report the treatment of a 76-year-old female patient with NF. The patient developed NF due to chronic poor glycaemic control, which further progressed to multiple organ dysfunction syndrome due to the severity of the hyperglycaemia. After resuscitation at the intensive care unit, surgical treatment was recommended and the patient underwent laparoscopic surgery. She had an uneventful post-operative recovery with aggressive anti-inflammatory therapy, glycaemic control and systemic nutritional support...
March 1, 2024: Journal of Wound Care
https://read.qxmd.com/read/38455212/high-dose-vitamin-d-supplementation-in-patients-with-covid-19-a-meta-analysis-of-randomized-controlled-trials
#9
JOURNAL ARTICLE
Zhaoshuang Zhong, Long Zhao, Yan Zhao, Shuyue Xia
The efficacy of administering high doses of vitamin D to patients diagnosed with COVID-19 remains uncertain. We conducted a comprehensive search across multiple databases (PubMed, EMBASE, Cochrane Library, and ISI Web of Science) from inception until August 2022, with no limitations on language, to locate randomized controlled trials (RCTs) that investigated the impact of high-dose vitamin D supplementation (defined as a single dose of ≥100,000 IU or daily dose of ≥10,000 IU reaching a total dose of ≥100,000 IU) on COVID-19 patients...
March 2024: Food Science & Nutrition
https://read.qxmd.com/read/38453406/inpatient-deaths-by-medical-service-characteristics-in-a-comprehensive-cancer-centre
#10
JOURNAL ARTICLE
Sebastiano Mercadante, Alessio Lo Cascio, Alessandra Casuccio
AIM: To examine the intensity of care in the last 3 days of life in different medical settings of a comprehensive cancer centre. METHODS: In this retrospective study, the charts of patients who died in hospital from July 2019 to June 2023 were reviewed. The units taken into consideration were acute palliative care unit (APCU), oncology (ONC) and haematology (HEM), which included also the transplantation unit. Age, gender, diagnosis, Karnofsky or Eastern Cooperative Oncology Group, drugs used in the last 3 days of life, respiratory support, transfusion, parenteral nutrition, imaging studies, blood gas analysis, biochemistry, consultations and endoscopy were retrieved...
March 7, 2024: BMJ Supportive & Palliative Care
https://read.qxmd.com/read/38451061/catheter-salvage-from-central-line-related-bloodstream-infections-in-pediatric-intestinal-failure
#11
JOURNAL ARTICLE
Catherine Larson-Nath, Linder Wendt, Riad Rahhal
OBJECTIVES: Patients with intestinal failure require central venous access which puts them at risk for central line-associated bloodstream infections (CLABSI). Maintaining vascular patency is critical for this population to receive nutrition support. When CLABSIs occur line salvage can help maintain vascular access. The aim of this study is to assess factors associated with safe and successful central venous catheter salvage. METHODS: Retrospective cohort study of patients with intestinal failure at two tertiary care institutions between 2012 and 2020...
March 7, 2024: Journal of Pediatric Gastroenterology and Nutrition
https://read.qxmd.com/read/38441116/measurement-and-estimation-of-energy-in-the-critically-ill
#12
REVIEW
Amir Y Kamel
PURPOSE OF REVIEW: Recent changes in guidelines recommendation during early phase of critical illness and use of indirect calorimetry. The aim of this review is to discuss methods of determining energy requirements in the critically ill and highlight factors impacting resting energy expenditure. RECENT FINDING: An appraisal of recent literature discussing indirect calorimetry guided-nutrition potential benefits or pitfalls. Recent attempts to devise strategy and pilot indirect calorimetry use in the critically ill patients requiring continuous renal replacement therapy or extracorporeal membrane oxygenation are also discussed...
April 1, 2024: Current Opinion in Critical Care
https://read.qxmd.com/read/38430844/baseline-immune-status-and-the-effectiveness-of-response-to-enteral-nutrition-among-icu-patients-with-covid-19-an-observational-retrospective-study
#13
JOURNAL ARTICLE
Yao Yin, Yijing Li, Yan Liu, Chaofeng Fan, Yan Jiang
OBJECTIVES: This study aimed to compare how immunocompromised and immunocompetent patients responded differently to enteral nutrition (EN) support in intensive care units (ICUs) during the COVID-19 pandemic, including serum nutritional biomarkers, inflammatory biomarkers, gastrointestinal (GI) intolerance symptoms, and clinical outcomes. METHODS: An observational, retrospective study was conducted in the ICUs of a teaching hospital in southwest China. We recruited a convenience sample of 154 patients between December 2022 and February 2023...
February 8, 2024: Nutrition
https://read.qxmd.com/read/38410759/clinical-significance-and-main-parameters-promoting-the-breast%C3%A2-feeding-strategy-review
#14
REVIEW
Eleni Nixarlidou, Chrysoula Margioula-Siarkou, Aristarchos Almperis, Eleftherios Vavoulidis, Antonio Simone Laganà, Konstantinos Dinas, Stamatios Petousis
Breastfeeding provides numerous nutritional and immunological benefits, promotes neurological and cognitive development, and protects against chronic and infectious diseases, rendering it beneficial to the survival and well-being of infants. According to international recommendations, infants should be exclusively breastfed for the first 6 months. However, despite global health recommendations and funding initiatives, exclusive breastfeeding rates remain low worldwide. A number of studies attribute the low rates to factors that can be grouped into demographic, psychosocial, economic and midwifery factors, and outline the profile of each mother who opts to exclusively breastfeed her infant...
2024: Med Int (Lond)
https://read.qxmd.com/read/38410547/the-efficacy-of-pulmonary-rehabilitation-training-program-for-patients-after-lung-transplantation
#15
JOURNAL ARTICLE
Jie Mei, Jing Hu, Eric M Krause, Toyofumi F Chen-Yoshikawa, Antonio Alvarez, Xiaojun Wang
BACKGROUND: Pulmonary rehabilitation is recognized widely as one of the most effective measures to promote postoperative recovery of lung transplant recipients (LTRs), and it has positive effects on both short- and long-term quality of life (QoL) and survival outcomes. However, no standardized pulmonary rehabilitation training programs exist specifically for LTRs. The pulmonary rehabilitation programs widely used in clinical practice focus mainly on exercise or respiratory training, to some extent neglecting other therapeutic methods that could promote patient health, such as nutrition support, pain control, spiritual comfort, and so on...
January 30, 2024: Journal of Thoracic Disease
https://read.qxmd.com/read/38404274/-effect-analysis-of-information-guided-enteral-nutrition-associated-diarrhea-treatment-process-in-patients-with-chronic-obstructive-pulmonary-disease-undergoing-continuous-non-invasive-assisted-ventilation-a-mixed-cohort-study-of-pre-and-post-control
#16
JOURNAL ARTICLE
Xiaofei Zhu, Jiao Wang, Huibin Pan, Zhuquan Dai, Chaohui Ji, Chunmiao Zhong, Haiping Huang
OBJECTIVE: To clarify the application effect of information-guided enteral nutrition-associated diarrhea (ENAD) management process in patients with chronic obstructive pulmonary disease (COPD) undergoing non-invasive assisted ventilation. METHODS: A mixed cohort study of pre- and post-control was conducted. Thirty-nine patients with COPD who were admitted to the emergency intensive care unit (ICU) of Huzhou First People's Hospital from July 1, 2021 to July 31, 2022 were enrolled...
January 2024: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
https://read.qxmd.com/read/38398867/obesity-as-a-risk-factor-for-complications-and-mortality-in-individuals-with-sars-cov-2-a-systematic-review
#17
JOURNAL ARTICLE
Marielle Priscila de Paula Silva-Lalucci, Déborah Cristina de Souza Marques, Pablo Valdés-Badilla, Leonardo Vidal Andreato, Braulio Henrique Magnani Branco
This systematic review aimed to analyze the available studies that identified overweight and/or obesity as a risk factor for mortality, use of respiratory support, and changes in biochemical markers in adults hospitalized with SARS-CoV-2. The PubMed, Web of Science, and Scopus databases were searched using PRISMA guidelines until January 2024. The protocol was registered with PROSPERO (code: CRD42024501551). Of the 473 articles, only 8 met the inclusion criteria (e.g., adult individuals aged 18 or over diagnosed with COVID-19 individuals with overweight and/or obesity)...
February 16, 2024: Nutrients
https://read.qxmd.com/read/38379741/risk-factors-for-carbapenem-resistant-klebsiella-pneumoniae-infections-in-intensive-care-units-a-multicentre-case-control-study-with-a-competing-risks-analysis
#18
JOURNAL ARTICLE
Ferhat Arslan, Ece Akbulut, Seniha Senbayrak, Asu Özgültekin, Sebahat Aksaray, Hayriye Cankar Dal, Hasan Oktay Emir, Handan Ankarali, Ali Mert, Haluk Vahaboglu
AIM: This study investigated the risk factors for the development of carbapenem-resistant Klebsiella pneumoniae (CRKP) infections in adult patients in Intensive Care Units (ICUs). METHODS: A multicentre case-control study was conducted in ICUs in three tertiary hospitals in Turkey. The cases were patients culture-confirmed CRKP and a condition associated with healthcare-associated infections. Two controls were randomly selected for each case from among all other patients with an ICU stay at least as long as that of the corresponding case-patient...
December 2023: Journal of Preventive Medicine and Hygiene
https://read.qxmd.com/read/38367993/usefulness-of-skills-in-point-of-care-ultrasound-and-simulation-based-training-as-essential-competencies-in-acute-management-of-neonatal-cardiac-tamponade
#19
JOURNAL ARTICLE
Ankit Jain, Saikat Patra, Chinmay Chetan, Girish Gupta
Peripherally inserted central catheter (PICC) insertion is a routine procedure in the neonatal intensive care unit required for prolonged intravenous fluid, nutrition and medication support. Neonatal cardiac tamponade is a serious and rare complication of PICC line insertion. Early detection by point of care ultrasound (POCUS) and management by pericardiocentesis improves the chances of survival. Regular simulation-based training sessions on a mannequin, along with knowledge of POCUS, can assist neonatologists and paediatricians for a quick and appropriate response in this emergency condition...
February 17, 2024: BMJ Case Reports
https://read.qxmd.com/read/38367198/bioimpedance-assessed-muscle-wasting-and-its-relation-to-nutritional-intake-during-the-first-week-of-icu-a-pre-planned-secondary-analysis-of-nutriti-study
#20
JOURNAL ARTICLE
Cristian Deana, Jan Gunst, Silvia De Rosa, Michele Umbrello, Matteo Danielis, Daniele Guerino Biasucci, Tommaso Piani, Antonella Cotoia, Alessio Molfino, Luigi Vetrugno
BACKGROUND: Muscle mass evaluation in ICU is crucial since its loss is related with long term complications, including physical impairment. However, quantifying muscle wasting with available bedside tools (ultrasound and bioimpedance analysis) must be more primarily understood. Bioimpedance analysis (BIA) provides estimates of muscle mass and phase angle (PA). The primary aim of this study was to evaluate muscle mass changes with bioimpedance analysis during the first 7 days after ICU admission...
February 17, 2024: Annals of Intensive Care
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