scholarly journals Medical Nutrition Therapy in Critically Ill Patients Treated on Intensive and Intermediate Care Units: A Literature Review

2019 ◽  
Vol 8 (9) ◽  
pp. 1395 ◽  
Author(s):  
Andrea Kopp Lugli ◽  
Aude de Watteville ◽  
Alexa Hollinger ◽  
Nicole Goetz ◽  
Claudia Heidegger
Keyword(s):  
Clinical Practice ◽  
Stress Response ◽  
Literature Review ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Current Knowledge ◽  
Nutrition Therapy ◽  
Intermediate Care ◽  
Medical Nutrition Therapy ◽  
Medical Nutrition

Medical nutrition therapy in critically ill patients remains challenging, not only because of the pronounced stress response with a higher risk for complications, but also due to their heterogeneity evolving from different phases of illness. The present review aims to address current knowledge and guidelines in order to summarize how they can be best implemented into daily clinical practice. Further studies are urgently needed to answer such important questions as best timing, route, dose, and composition of medical nutrition therapy for critically ill patients and to determine how to assess and to adapt to patients’ individual needs.

scholarly journals Risks in Management of Enteral Nutrition in Intensive Care Units: A Literature Review and Narrative Synthesis

Nutrients ◽  
2020 ◽  
Vol 13 (1) ◽  
pp. 82
Author(s):  
Magdalena Hoffmann ◽  
Christine Maria Schwarz ◽  
Stefan Fürst ◽  
Christina Starchl ◽  
Elisabeth Lobmeyr ◽  
...  
Keyword(s):  
Patient Safety ◽  
Intensive Care ◽  
Clinical Practice ◽  
Literature Review ◽  
Enteral Nutrition ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Rapid Review ◽  
Narrative Synthesis ◽  
Safety Issues

Critically ill patients in the intensive care unit (ICU) have a high risk of developing malnutrition, and this is associated with poorer clinical outcomes. In clinical practice, nutrition, including enteral nutrition (EN), is often not prioritized. Resulting from this, risks and safety issues for patients and healthcare professionals can emerge. The aim of this literature review, inspired by the Rapid Review Guidebook by Dobbins, 2017, was to identify risks and safety issues for patient safety in the management of EN in critically ill patients in the ICU. Three databases were used to identify studies between 2009 and 2020. We assessed 3495 studies for eligibility and included 62 in our narrative synthesis. Several risks and problems were identified: No use of clinical assessment or screening nutrition assessment, inadequate tube management, missing energy target, missing a nutritionist, bad hygiene and handling, wrong time management and speed, nutritional interruptions, wrong body position, gastrointestinal complication and infections, missing or not using guidelines, understaffing, and lack of education. Raising awareness of these risks is a central aspect in patient safety in ICU. Clinical experts can use a checklist with 12 identified top risks and the recommendations drawn up to carry out their own risk analysis in clinical practice.

Nutrition in Critical Illness

2019 ◽  
pp. 42-49
Author(s):  
Angela N. Vizzini ◽  
Mireille H. Hamdan
Keyword(s):  
Stress Response ◽  
Critical Illness ◽  
Critically Ill ◽  
Muscle Mass ◽  
Critically Ill Patients ◽  
Patient Population ◽  
Nutrition Therapy ◽  
Infectious Complications ◽  
Protein Requirements ◽  
Lean Muscle Mass

Nutritional care of critically ill patients prompts considerations unique to this patient population. For many years it has been postulated that the inflammation and stress response that accompany critical illness contribute to hypermetabolism and increased nutrient requirements. There is a reasonable consensus that nutrition therapy tailored to the patient’s energy and protein requirements aids in recovery, maintains lean muscle mass, and decreases infectious complications. This chapter addresses nutritional issues in critically ill patients and suggests appropriate interventions and monitoring to prevent complications and facilitate recovery from critical illness.

280-OR: Medical Nutrition Therapy and Glycemic Control in Youth-Onset Diabetes: SEARCH for Diabetes in Youth Study

Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 280-OR
Author(s):  
KATHERINE A. SAUDER ◽  
JEANETTE M. STAFFORD ◽  
NATALIE S. THE ◽  
ELIZABETH J. MAYER-DAVIS ◽  
JOAN THOMAS ◽  
...  
Keyword(s):  
Glycemic Control ◽  
Nutrition Therapy ◽  
Medical Nutrition Therapy ◽  
Onset Diabetes ◽  
Youth Study ◽  
Medical Nutrition ◽  
Diabetes In Youth
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