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Nutrition in critical care

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https://www.readbyqxmd.com/read/29933211/understanding-the-health-and-wellbeing-challenges-of-the-food-banking-system-a-qualitative-study-of-food-bank-users-providers-and-referrers-in-london
#1
C Thompson, D Smith, S Cummins
In the UK, food poverty has been associated with conditions such as obesity, malnutrition, hypertension, iron deficiency, and impaired liver function. Food banks, the primary response to food poverty on the ground, typically rely on community referral and distribution systems that involve health and social care professionals and local authority public health teams. The perspectives of these key stakeholders remain underexplored. This paper reports on a qualitative study of the health and wellbeing challenges of food poverty and food banking in London...
May 16, 2018: Social Science & Medicine
https://www.readbyqxmd.com/read/29931066/acute-acalculous-cholecystitis-in-burns-a-review
#2
Karl Walsh, Ioannis Goutos, Baljit Dheansa
Acute acalculous cholecystitis (AAC) is an acute inflammatory disorder of the gallbladder, which can complicate the recovery of burn patients. No formal literature review has been performed about this uncommon but potentially fatal complication in burn care. A Pubmed search from 1950 to 2015 was performed using MESH terms: "acalculous cholecystitis," "burns or thermal injuries or thermal damage," and "cholecystitis or gallbladder inflammation." The articles were analyzed and data collected individually on the incidence, presenting symptoms or signs, risk factors, investigations, and treatment modalities used...
February 9, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/29929924/unplanned-postoperative-intensive-care-unit-admission-for-ovarian-cancer-cytoreduction-is-associated-with-significant-decrease-in-overall-survival
#3
Malcolm S Ross, Mary E Burriss, Daniel G Winger, Robert P Edwards, Madeleine Courtney-Brooks, Michelle M Boisen
OBJECTIVES: Previous studies have identified age, nutritional status, and hematocrit as risk factors for unplanned ICU admission in gynecologic oncology patients. We sought to identify additional perioperative factors that can be predictive of unplanned ICU admission and its impact on outcomes in women with ovarian cancer undergoing ovarian cancer cytoreductive procedures. METHODS: This was a case-control study of patients with unplanned ICU admission after primary surgery for ovarian cancer from January 2007 to December 2013...
June 18, 2018: Gynecologic Oncology
https://www.readbyqxmd.com/read/29928523/muscle-atrophy-in-chronic-obstructive-pulmonary-disease-molecular-basis-and-potential-therapeutic-targets
#4
REVIEW
Esther Barreiro, Ariel Jaitovich
Patients with chronic obstructive pulmonary disease (COPD) experience several systemic manifestations such skeletal muscle dysfunction with and without muscle mass loss. Moreover, frequent comorbidities such as nutritional abnormalities, heart failure, and pulmonary hypertension, which are frequently associated with COPD may further contribute to skeletal muscle mass loss and dysfunction. Muscle dysfunction impairs the patients' exercise capacity and quality of life as daily life activities may be hampered by this problem...
May 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29924423/methods-of-enteral-nutrition-administration-in-critically-ill-patients-continuous-intermittent-cyclic-and-bolus-feeding
#5
REVIEW
Satomi Ichimaru
There are several methods of enteral nutrition (EN) administration, including continuous, cyclic, intermittent, and bolus techniques, which can be used either alone or in combination. Continuous feeding involves hourly administration of EN over 24 hours assisted by a feeding pump; cyclic feeding involves administration of EN over a time period of <24 hours generally assisted by a feeding pump; intermittent feeding involves administration of EN over 20-60 minutes every 4-6 hours via pump assist or gravity assist; and bolus feeding involves administration of EN over a 4- to 10-minute period using a syringe or gravity drip...
June 20, 2018: Nutrition in Clinical Practice
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
#6
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/29914737/measuring-gastric-residual-volumes-in-critically-ill-burn-patients-a-systematic-review
#7
REVIEW
C H Pham, Z J Collier, W L Garner, C M Kuza, T J Gillenwater
PURPOSE: Measuring gastric residual volumes (GRV) is common in intensive care units (ICU) in patients receiving enteral nutrition (EN) and are a common source of feeding interruptions. Interruptions in EN yield adverse outcomes and are an area of improvement in burn care. The objectives of this study are to summarize the literature's ICU GRV practices and offer practical suggestions to GRV management in the burn patient. METHODS: PubMed, SCOPUS, and OvidSP Medline were systematically reviewed using the keywords: burns; thermal injury; gastric residual volume; enteral feeding; tube feeding; enteral nutrition; gastric intolerance; ICU; critical illness...
June 15, 2018: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/29914122/biological-and-clinical-aspects-of-an-olive-oil-based-lipid-emulsion-a-review
#8
REVIEW
Wei Cai, Phillip C Calder, Maria F Cury-Boaventura, Elisabeth De Waele, Julie Jakubowski, Gary Zaloga
Intravenous lipid emulsions (ILEs) have been an integral component of parenteral nutrition for more than 50 years. Numerous formulations are available and are based on vegetable (soybean, olive, coconut) and animal (fish) oils. Therefore, each of these formulations has a unique fatty acid composition that offers both benefits and limitations. As clinical experience and our understanding of the effects of fatty acids on various physiological processes has grown, there is evidence to suggest that some ILEs may have benefits compared with others...
June 15, 2018: Nutrients
https://www.readbyqxmd.com/read/29908681/the-impact-of-early-enteral-nutrition-on-pediatric-acute-respiratory-failure
#9
Amanda Haney, Emily Burritt, Christopher J Babbitt
BACKGROUND AND AIMS: Children who are critically ill undergo metabolic stress and it is important that they receive adequate calories and protein in order to recover. Our objective was to investigate the impact of early enteral nutrition (EEN) on pediatric intensive care (PICU) patients with acute respiratory failure. METHODS: A retrospective cohort study was performed on all patients admitted to a 20 bed PICU at a tertiary children's hospital over a 30 month period...
August 2018: Clinical Nutrition ESPEN
https://www.readbyqxmd.com/read/29904444/the-impact-of-nutritional-status-and-complete-blood-count-parameters-on-clinical-outcome-in-geriatric-critically-ill-patients
#10
Abdulkerim Yildiz, Ali Yigit, Ali Ramazan Benli
Background: The geriatric population in intensive care units (ICUs) has recently increased. The aim of this study was to analyse the impact of initial complete blood count (CBC)-related parameters and nutritional status on morbidity and mortality in geriatric ICU patients. Methods: A retrospective analysis was made of geriatric patients admitted to our tertiary adult ICU for 1 year. Patients with a length of stay (LOS) of < 48 h, with hematological malignancy or age < 65 years age were excluded from the study...
July 2018: Journal of Clinical Medicine Research
https://www.readbyqxmd.com/read/29903605/a-retrospective-evaluation-of-nutrition-support-in-relation-to-clinical-outcomes-in-critically-ill-patients-with-an-open-abdomen
#11
Rosalie Yandell, Susan Wang, Peter Bautz, Alison Shanks, Stephanie O'Connor, Adam Deane, Kylie Lange, Marianne Chapman
BACKGROUND: Optimising nutrition support in critically ill patients with an open abdomen is challenging. OBJECTIVES: The aims of this study were to (i) quantify the amount and adequacy of nutrition support administered and (ii) determine any relationships that exist between mode of nutrition support delivery and clinical outcomes in critically ill patients with an open abdomen. METHODS: A retrospective review of critically ill patients mechanically ventilated for at least 48 h with an open abdomen in a mixed quaternary referral intensive care unit...
June 11, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/29903481/performance-of-stochastic-targeted-blood-glucose-control-protocol-by-virtual-trials-in-the-malaysian-intensive-care-unit
#12
Ummu K Jamaludin, Fatanah M Suhaimi, Normy Norfiza Abdul Razak, Azrina Md Ralib, Mohd Basri Mat Nor, Christopher G Pretty, Luqman Humaidi
BACKGROUND AND OBJECTIVE: Blood glucose variability is common in healthcare and it is not related or influenced by diabetes mellitus. To minimise the risk of high blood glucose in critically ill patients, Stochastic Targeted Blood Glucose Control Protocol is used in intensive care unit at hospitals worldwide. Thus, this study focuses on the performance of stochastic modelling protocol in comparison to the current blood glucose management protocols in the Malaysian intensive care unit...
August 2018: Computer Methods and Programs in Biomedicine
https://www.readbyqxmd.com/read/29902439/the-impact-of-dietary-transition-metals-on-host-bacterial-interactions
#13
REVIEW
Christopher A Lopez, Eric P Skaar
Transition metals are required cofactors for many proteins that are critical for life, and their concentration within cells is carefully maintained to avoid both deficiency and toxicity. To defend against bacterial pathogens, vertebrate immune proteins sequester metals, in particular zinc, iron, and manganese, as a strategy to limit bacterial acquisition of these necessary nutrients in a process termed "nutritional immunity." In response, bacteria have evolved elegant strategies to access metals and counteract this host defense...
June 13, 2018: Cell Host & Microbe
https://www.readbyqxmd.com/read/29901462/changing-paradigms-in-metabolic-support-and-nutrition-therapy-during-critical-illness
#14
Arthur R H van Zanten
PURPOSE OF REVIEW: To summarize the most recent advances in acute metabolic care and critical care nutrition. RECENT FINDINGS: Recent research has demonstrated unknown consequences of high protein and amino acid administration in the early phase of ICU stay associated with dysregulated glucagon release leading to hepatic amino acid breakdown and suggested adverse effects on autophagy and long-term outcome. Progress has been made to measure body composition in the ICU...
June 8, 2018: Current Opinion in Critical Care
https://www.readbyqxmd.com/read/29895309/very-high-intact-protein-formula-successfully-provides-protein-intake-according-to-nutritional-recommendations-in-overweight-critically-ill-patients-a-double-blind-randomized-trial
#15
Arthur R H van Zanten, Laurent Petit, Jan De Waele, Hans Kieft, Janneke de Wilde, Peter van Horssen, Marianne Klebach, Zandrie Hofman
BACKGROUND: Optimal energy and protein provision through enteral nutrition is essential for critically ill patients. However, in clinical practice, the intake achieved is often far below the recommended targets. Because no polymeric formula with sufficient protein content is available, adequate protein intake can be achieved only by supplemental amino acids or semi-elemental formula administration. In the present study, we investigated whether protein intake can be increased with a new, very high intact-protein formula (VHPF) for enteral feeding...
June 12, 2018: Critical Care: the Official Journal of the Critical Care Forum
https://www.readbyqxmd.com/read/29895254/investigating-information-needs-of-saudi-diabetic-patients
#16
Irfan Anjum Manarvi, Nader Mahr Matta
BACKGROUND: Studies have shown that newly diagnosed diabetic patients need a lot of information about medical examinations, checkups, tests and precautions for its control besides its disastrous effects on heart, kidneys, eyes, foot and nerves etc. Patients in Saudi Arabia are generally not aware of most of the information they may need which is one the major reasons of its increasing number of patients. Past studies conducted are based on clinical data of hospitals and health care centers only discussed its effects...
June 11, 2018: Current Diabetes Reviews
https://www.readbyqxmd.com/read/29892200/early-introduction-of-a-semi-elemental-formula-may-be-cost-saving-compared-to-a-polymeric-formula-among-critically-ill-patients-requiring-enteral-nutrition-a-cohort-cost-consequence-model
#17
Alistair S Curry, Shkun Chadda, Aurélie Danel, Douglas L Nguyen
Objectives: Gastrointestinal (GI) intolerance is associated with adverse outcomes in critically ill patients receiving enteral nutrition (EN). The objective of this analysis is to quantify the cost of GI intolerance and the cost implications of starting with semi-elemental EN in intensive care units (ICUs). Study design: A US-based cost-consequence model was developed to compare the costs for patients with and without GI intolerance and the costs with semi-elemental or standard EN while varying the proportion of GI intolerance cases avoided...
2018: ClinicoEconomics and Outcomes Research: CEOR
https://www.readbyqxmd.com/read/29883514/enteral-versus-parenteral-nutrition-and-enteral-versus-a-combination-of-enteral-and-parenteral-nutrition-for-adults-in-the-intensive-care-unit
#18
REVIEW
Sharon R Lewis, Oliver J Schofield-Robinson, Phil Alderson, Andrew F Smith
BACKGROUND: Critically ill people are at increased risk of malnutrition. Acute and chronic illness, trauma and inflammation induce stress-related catabolism, and drug-induced adverse effects may reduce appetite or increase nausea and vomiting. In addition, patient management in the intensive care unit (ICU) may also interrupt feeding routines. Methods to deliver nutritional requirements include provision of enteral nutrition (EN), or parenteral nutrition (PN), or a combination of both (EN and PN)...
June 8, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29878557/supplemental-parenteral-nutrition-review-of-the-literature-and-current-nutrition-guidelines
#19
Mary K Russell, Paul E Wischmeyer
Parenteral nutrition has significantly and positively affected the clinical care of patients for >50 years. The 2016 Society of Critical Care Medicine/American Society for Parenteral and Enteral Nutrition guidelines for the provision of nutrition support to adult patients emphasize the role of this therapy in attenuating the stress response and impacting the immune response, among other benefits. Malnutrition in hospitalized patients remains a major problem; it is underdiagnosed and often undertreated. Malnourished patients are more likely to suffer from infections, pneumonia, and pressure ulcers, among other serious concerns...
June 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/29878556/full-nutrition-or-not
#20
Mary F Stuever, Ryan F Kidner, Floria E Chae, David C Evans
Enteral nutrition (EN) is widely used in intensive care units around the world, but the optimal dosing strategy during the first week of critical illness is still controversial. Numerous studies in the past decade have provided conflicting recommendations regarding the roles of trophic and permissive/intentional underfeeding strategies. Further complicating effective medical decision making is the widespread, yet unintentional and persistent underdelivery of prescribed energy and protein, in addition to the trend for recommending ever-higher amounts of protein delivery...
June 2018: Nutrition in Clinical Practice
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