scholarly journals Enteral nutrition therapy in intensive care units: a comparative study between prescribed and administered diet

Critical Care ◽  
2007 ◽  
Vol 11 (Suppl 3) ◽  
pp. P87
Author(s):  
KG Padilha ◽  
MJA Poltronieri
Keyword(s):  
Intensive Care ◽  
Enteral Nutrition ◽  
Comparative Study ◽  
Intensive Care Units ◽  
Nutrition Therapy

scholarly journals Impact of Propofol Sedation upon Caloric Overfeeding and Protein Inadequacy in Critically Ill Patients Receiving Nutrition Support

Pharmacy ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 121
Author(s):  
Roland N. Dickerson ◽  
Christopher T. Buckley
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Enteral Nutrition ◽  
Parenteral Nutrition ◽  
Critically Ill Patients ◽  
Protein Intake ◽  
Lipid Emulsion ◽  
Caloric Intake ◽  
Nutrition Therapy ◽  
Nutrition Support

Propofol, a commonly used sedative in the intensive care unit, is formulated in a 10% lipid emulsion that contributes 1.1 kcals per mL. As a result, propofol can significantly contribute to caloric intake and can potentially result in complications of overfeeding for patients who receive concurrent enteral or parenteral nutrition therapy. In order to avoid potential overfeeding, some clinicians have empirically decreased the infusion rate of the nutrition therapy, which also may have detrimental effects since protein intake may be inadequate. The purpose of this review is to examine the current literature regarding these issues and provide some practical suggestions on how to restrict caloric intake to avoid overfeeding and simultaneously enhance protein intake for patients who receive either parenteral or enteral nutrition for those patients receiving concurrent propofol therapy.

scholarly journals Prevalence and clinical significance of interactions drug-enteral nutrition in Intensive Care Units

2014 ◽  
Vol 67 (1) ◽  
Author(s):  
Adriano Max Moreira Reis ◽  
Rhanna Emanuela F. Lima de Carvalho ◽  
Leila Marcia Pereira de Faria ◽  
Regina Célia de Oliveira ◽  
Karine Santana de Azevedo Zago ◽  
...  
Keyword(s):  
Intensive Care ◽  
Enteral Nutrition ◽  
Intensive Care Units ◽  
Clinical Significance

scholarly journals Quality indicators in nutrition therapy and clinical outcomes in a neonatal intensive care unit

2021 ◽  
Vol 34 ◽  
Author(s):  
Luciana Carla HOLZBACH ◽  
Renata Andrade de Medeiros MOREIRA ◽  
Renata Junqueira PEREIRA
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Weight Gain ◽  
Birth Weight ◽  
Enteral Nutrition ◽  
Gestational Age ◽  
Nutrition Therapy ◽  
Energy Deficit ◽  
Cumulative Energy ◽  
Fasting Time

ABSTRACT Objective To associate quality indicators in nutritional therapy and pre-determined clinical outcomes in a neonatal unit. Methods A total of 81 premature newborns were monitored regarding the time to initiate nutrition therapy, time to meet energy needs, energy and protein adequacy, cumulative energy deficit, adequacy of the nutritional formula and fasting periods; weight gain, the occurrence of necrotizing enterocolitis, mortality and length of stay in the intensive care unit. The data were analyzed with the Statistical Package for the Social Sciences at 5% significance level. Results The time to start enteral nutrition and the calories infused/kg/day were predictors of length of hospital stay F(2.46)=6.148; p=0.004; R2=0.211; as well as the cumulative energy deficit+birth weight+infused calories/kg/day (F=3.52; p<0.001; R2=0.422); cumulative energy deficit+calories infused/kg/day+fasting time for Enteral Nutrition (F=15.041; p<0.001; R2=0.474) were predictors of weight gain. The time to start enteral nutrition, gestational age and birth weight were inversely associated with the occurrence of necrotizing enterocolitis (β=-0.38; β=-0.198; β=-0.002). Early enteral nutrition predisposed to mortality (β=0.33). Gestational age, birth weight and calories infused/kg/day were inversely related to mortality (β=-0.442; β=-0.004; β=-0.08). Conclusions Considering the associations between indicators and outcomes, routine monitoring of the time to start enteral nutrition, energy adequacy, energy deficit and fasting time is recommended.

Are Intensive Care Unit Patients Undergoing Enteral Nutrition Therapy Sufficiently Fed? A Prospective, Descriptive Study

2021 ◽  
Vol 36 (2) ◽  
pp. 119-127
Author(s):  
Volkan Özen ◽  
Aylin Aydin Sayilan ◽  
Miray Turkoglu ◽  
Dilek Mut ◽  
Samet Sayilan ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Enteral Nutrition ◽  
Descriptive Study ◽  
Nutrition Therapy

Effect of Registered Dietitian Nutritionist Order-Writing Privileges on Enteral Nutrition Administration in Selected Intensive Care Units

2019 ◽  
Vol 34 (6) ◽  
pp. 899-905
Author(s):  
Bianca D. Arney ◽  
Stacey A. Senter ◽  
Avital C. Schwartz ◽  
Taylor Meily ◽  
Stacy Pelekhaty
Keyword(s):  
Intensive Care ◽  
Enteral Nutrition ◽  
Intensive Care Units ◽  
Registered Dietitian

Medicine and Aviation: A Review of the Comparison

2003 ◽  
Vol 42 (04) ◽  
pp. 433-436 ◽  
Author(s):  
R. Randell
Keyword(s):  
Health Care ◽  
Intensive Care ◽  
Comparative Study ◽  
Intensive Care Units ◽  
Medical Error ◽  
Medical Technology ◽  
Research Literature ◽  
Ethnographic Study ◽  
The Subject

Summary Objective: This paper aims to understand the nature of medical error in highly technological environments and argues that a comparison with aviation can blur its real understanding. Methods: This study is a comparative study between the notion of error in health care and aviation based on the author’s own ethnographic study in intensive care units and findings from the research literature on errors in aviation. Results and Conclusions: Failures in the use of medical technology are common. In attempts to understand the area of medical error, much attention has focused on how we can learn from aviation. This paper argues that such a comparison is not always useful, on the basis that (i) the type of work and technology is very different in the two domains; (ii) different issues are involved in training and procurement; and (iii) attitudes to error vary between the domains. Therefore, it is necessary to look closely at the subject of medical error and resolve those questions left unanswered by the lessons of aviation.

Nutrition support team activities can improve enteral nutrition administration in intensive care units

Nutrition ◽  
2019 ◽  
Vol 57 ◽  
pp. 275-281 ◽  
Author(s):  
Martina Celi Bandeira Rufino Lopes ◽  
Guilherme Duprat Ceniccola ◽  
Wilma Maria Coelho Araújo ◽  
Rita Akutsu
Keyword(s):  
Intensive Care ◽  
Enteral Nutrition ◽  
Intensive Care Units ◽  
Nutrition Support ◽  
Support Team

scholarly journals Clinical evolution of adult, elderly and very elderly patients admitted in Intensive Care Units

2011 ◽  
Vol 19 (6) ◽  
pp. 1344-1351 ◽  
Author(s):  
Verônica Cunha Rodrigues de Oliveira ◽  
Lilia de Souza Nogueira ◽  
Rafaela Andolhe ◽  
Katia Grillo Padilha ◽  
Regina Marcia Cardoso de Sousa
Keyword(s):  
Intensive Care ◽  
Mortality Rate ◽  
Elderly Patients ◽  
Comparative Study ◽  
Clinical Outcomes ◽  
Intensive Care Units ◽  
The Elderly ◽  
Simplified Acute Physiology Score ◽  
Adult Patients ◽  
Very Elderly

This study compared clinical outcomes among adult, elderly and very elderly patients admitted to Intensive Care Units (ICUs) located in São Paulo, Brazil. This retrospective, longitudinal and comparative study included 279 adult (≥18 and <60 years), 216 elderly (≥60 and <80 years) and 105 very elderly (≥80 years) patients. Adult patients differed from other groups regarding the unit to which they were referred and severity, according to the Simplified Acute Physiology Score II. Adults were most frequently sent to hospitalization wards; elderly and very elderly patients who survived hospitalization in critical units showed sharper improvement before discharge. There were differences in relation to mortality between adult and elderly patients, with a higher rate in the elderly group; however, the mortality rate of very elderly and adult patients was similar. In general, the results indicated that older age was not associated with undesirable outcomes in ICUs.

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