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Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral…
TLDR
The guidelines reiterate the importance of nutrition assessment-particularly, the detection of malnourished patients who are most vulnerable and therefore may benefit from timely intervention and there is a need for renewed focus on accurate estimation of energy needs and attention to optimizing protein intake.
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Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral…
View on PubMed
Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral…
TLDR
These guidelines offer basic recommendations that are supported by review and analysis of the current literature, other national and international guidelines, and a blend of expert opinion and clinical practicality that are directed toward generalized patient populations.
View on Wolters Kluwer
Enteral tube feeding in the intensive care unit: factors impeding adequate delivery.
TLDR
The current manner in which enteral tube feeding is delivered in the ICU results in grossly inadequate nutritional support and barely one half of patient caloric requirements are met because of underordering by physicians and reduced delivery through frequent and often inappropriate cessation of feedings.
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Comparison of the safety of early enteral vs parenteral nutrition in mild acute pancreatitis.
TLDR
TEN for acute pancreatitis is as safe and effective, but is significantly less costly than TPN, and may promote more rapid resolution of the toxicity and stress response to pancreatitis.
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Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral…
TLDR
The guidelines offer basic recommendations that are supported by review and analysis of the pertinent available current literature, by other national and international guidelines, and by the blend of expert opinion and clinical practicality.
View on Wolters Kluwer
Poor validity of residual volumes as a marker for risk of aspiration in critically ill patients*
TLDR
Over a wide range of RV, increasing from 0 mL to >400 mL, the frequency of regurgitation and aspiration did not change appreciably, and bowel function scores did not correlate with the incidence of aspiration or Regurgitation.
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Achievement of steady state optimizes results when performing indirect calorimetry.
TLDR
These data support the use of steady state, best defined as an interval of 5 consecutive minutes whereby VO2 and VCO2 change by <10%.
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Multidisciplinary practical guidelines for gastrointestinal access for enteral nutrition and decompression from the Society of Interventional Radiology and American Gastroenterological Association…
TLDR
Tube feeding has been practiced for more than 400 years, but natural orifice tubes often fail because of clogging as a result of their relatively small diameter or inadvertent dislodgement.
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North American Summit on Aspiration in the Critically Ill Patient: consensus statement.
TLDR
Although the patient with confirmed aspiration should be monitored for clinical consequences and receive supportive pulmonary care, ETF may be continued when accompanied by appropriate steps to reduce risk of further aspiration.
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