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Description:
A discussion forum for critical care practitioners to share experiences, ask questions, and discuss issues related to nutrition therapy in the Intensive Care Unit.
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Cochrane study
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Hi can anyone help me to locate a study mentioned quickly at the ASPEN
week12 conference this year ,Tuesday session 3-430 pm?
What I caught was a Cochrane study involving 900 patients ,about being
NPO after surgery may increase mortality (59% ? Mortality??) .
Thanks
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glutamine addiction in tumor cells
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Hi there,
in many papers the tumors are said to be highly glutaminolytic and it is
shown in cell cultures especially in breast cancer models..however in
animal models, it is shown that glutamine is very useful and effective..i
think there is a controversy..do we feed tumor by giving glutamine? i did... more »
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Acute liver failure
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We've got a CABG patient (POD25) on TPN (21 days), obese, ventilated, recent hemicolectomy (POD5) due to ischemic bowel, with new acute liver failure (likely shock per MD). MD took lipids out of TPN and wants to give 50g protein/day (.5g/kg) due to acute liver failure. MD is concerned patient 'can't metabolize protein' with ALF. Thoughts anyone? Thanks.... more »
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Diarrhea in LTAC patient
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Hello all- 68yo Female w/ VDRF secondary to Guillain-Barre (onset Oct 2011). Admitted to our facility for respiratory management on March 13. Pt has been having intractable diarrhea since 3/27 despite negative C.diff, multiple TF & med/abx changes. Fecal management system in place, loose & unformed output noted prior to bowel prep (previously liquid consistency).... more »
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PEP uP Collaborative: Apply Today!
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The PEP uP Nutrition Collaborative, which will start this fall, is designed to foster a network of clinicians committed to the optimal delivery of enteral nutrition therapy in the ICU. The aim of this collaborative is to provide practical tools and strategies to improve the delivery of enteral... more »
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Protein needs, CRRT
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Hi all,
Anyone using a protein intake of 2.5 g/kg/d when a critically Ill,
ventilated patient requiring
Continuous Renal Replacement Therapy?
Both enteral and parenteral?
Are there any usefull trails to support the use of this feeding
regime?
Thanks.
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GRV
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We are currently reviewing the GRV that we use on our ICU of 250mls.
Im aware that some ICUs are currently using 400-500ml could someone
direct me to the appropriate literature or evidence to support this.
Kind Regards Tracy
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question for Enteral experts based on Dr Drover's case study
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Our hospital is reviewieng our formulary and conisdering using a 1.5cal/ml fiber tube feeding product as our standard house formula in order to meet patient nutritional goals faster and to ensure that adequate feeding is given. There is much discussion on whether or not one needs a 1.o cal/ml enteral feeding.... more »
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Enteral Nutr Therapy for Surgical Pt
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I just reviewed Dr. Drover's presentation from the Dietitians of Canada Annual National Conference, and wondered if someone could provide the answers to the case questions at the end of the presentation. Very helpful presentation. Thanks! Kathleen Standafer, MS, RD, CNSD Columbia, MO
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