Mercedes Planas

Learn More
Severe protein-calorie malnutrition is a major problem in many intensive care (ICU) patients due to the increased catabolic state often associated with acute severe illness and the frequent presence of prior chronic wasting conditions. Nutritional support is thus an important part of the management of these patients. Over the years, enteral nutrition (EN)(More)
Abstract The metabolic changes associated with critical illness involve several pathways acting at different steps of the utilization of nutritive substrates. The understanding of the role of these pathways and of their complex regulation has led to the development of new strategies for the metabolic and nutritional management of critically ill patients,(More)
A multicenter survey to study the use of nutritional support in patients admitted to the ICU in Spain. The survey was announced during the annual Spanish Society of Intensive Care Medicine and Coronary Units (SEMIUC) congress meeting. Questionnaires designed to determine current clinical practice concerning artificial nutrition were sent to the 27 ICU who(More)
A 39-year-old man, with no history of alcohol intake, who had had an esophago-ileo-colo-gastroplasty with ileotransversostomy, developed diplopia, seizures, metabolic acidosis, and cardiac failure and finally refractory hyperdynamic shock. He died 20 h after admission to our intensive care unit from cardiocirculatory collapse. Postmortem results revealed(More)
Objective: To investigate the efficacy of somatostatin for the treatment of severe acute pancreatitis. Design: Prospective, randomized and unblinded study. Setting: A general intensive care unit (ICU) in a university hospital. Patients: 50 patients with severe acute pancreatitis. Interventions: All patients received the conventional treatment for this(More)
Objective: To determine the effects on platelet membrane fatty acid composition following administration of two different fat emulsions. Design: Prospective, randomized, double-blind study. Setting: Intensive care unit in a university-affiliated hospital. Patients: 12 adult critically ill patients in need of total parenteral nutrition. Interventions:(More)
Bioelectrical impedance analysis (BIA) is a technique used to determine body composition in both healthy individuals and patients. BIA consists of the application of a tow voltage current to measure Resistance and Reactance of the body tissues. OBJE7CTIVES: To determine if body ccinjosition varies significantly over time in critically ill patients or(More)
OBJECTIVES The aim of this study was to analyze the economic effects of hospital malnutrition and the cost of longer hospital stays according to the Prevalence of Hospital Malnutrition and Associated Costs in Spain (PREDyCES) study data. METHODS This was a nested case-control study in a prospective cohort of patients (n = 114) who were at nutritional risk(More)
L.G. Thijs (Netherlands)*(~) G. Baltopoulos (Greece) 9 D. Bihari (UK) H. Burchardi (Germany) 9 J. Cartet (France)" R. Chiolbro (Switzerland) L. Dragsted (Denmark) ' DJ. Edwards (UK) ' P. Ferdinande (Belgium) ' F. Giunta (Italy)" A. Karl (Finland). W. Kox (Germany). M. Planas (Spain) J.L. Vincent (Belgium) J. Pfenninger (Switzerland) ' K.E. Edberg (Sweden)D.(More)