Best timing for energy provision during critical illness

Berger, Mette M.; Pichard, Claude

doi:10.1186/cc11229

Cited by 47 publications

(24 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Finally, it could allow rapid oral feeding in patients whose swallowing evaluation has been found normal. Indeed, caloric de cit has been reported to be associated with increased nosocomial infection rates, especially bloodstream infections [28] and pneumonia, as well as higher mortality [29], longer ICU stays, and higher healthcare costs [30,31].…”

Section: Discussionmentioning

confidence: 99%

Accuracy of a Bedside Swallow Test After Extubation in ICU: A Prospective Validation of a Clinical Test Compared to a Fiberoptic Endoscopy.

Maamar¹,

Parent²,

Guérot³

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Swallowing disorders (SDs) are frequent after extubation in intensive care unit (ICU) exposing patients to aspiration pneumonia. There is no validated bedside swallowing evaluation (BSE) after extubation. We aimed to evaluate the accuracy of our BSE in comparison with fiberoptic endoscopic evaluation of swallowing (FEES) in critically ill patients after extubation, and to identify the incidence and risk factors of SD.Methods: After a preliminary study in a first center, we conducted a 1-year prospective study as a validation cohort in a second center. Patients intubated for longer than 48 hours were included. Exclusion criteria were a known laryngeal pathology, a preexisting SD and an admission for stroke. FEES of the larynx and BSE were assessed within 24 hours after extubation to compare the accuracy of the BSE to the FEES procedure.Results: One hundred and twenty eight patients were included, respectively 69 and 79 in the preliminary study and the validation cohort. Thirteen of 69 (19%) and 33/79 (42%) had SD assessed by FEES. The area under curve (AUC) reached respectively 0.86 (95% CI 0.73-0.98) and 0.83 (95% CI 0.74-0.92). Sensitivities were 77% (95% CI 0.54-0.99) and 85% (95% CI 0.73-0.94), specificities 94% (95% CI 0.87-0.98) and 80% (95% CI 0.7-0.91), and negative predictive values (NPV) were 95% and 90% in respectively preliminary study and validation cohort. Independent risk factors for SD were duration of intubation (OR=1.08; 95% CI 1.02-1.17, p=0.03) and hemodynamic failure (OR=4.46; 95% CI 1.27-21, p=0.03).Conclusion: Our BSE is accurate to detect SDs after extubation in critically ill patients and can easily be implemented in an ICU setting.

show abstract

Section: Discussionmentioning

confidence: 99%

Accuracy of a Bedside Swallow Test After Extubation in ICU: A Prospective Validation of a Clinical Test Compared to a Fiberoptic Endoscopy.

Maamar¹,

Parent²,

Guérot³

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…When choosing EN or PN, various factors, such as the patient’s disease/condition, nutritional requirement status, and age, should be considered. 7 – 9 Many physicians believe PN therapy should be evaluated in many guidelines as an alternative to EN when this is not feasible. However, guidelines that are based on observational data and expert opinion have limitations that affect the correct choice.…”

Section: Discussionmentioning

confidence: 99%

Current status of parenteral nutrition and enteral nutrition application: an assessment of nutritional prescriptions from 59 hospitals in the People’s Republic of China

Han

2015

TCRM

View full text Add to dashboard Cite

PurposeThe aim of the study reported here was to assess the use of parenteral nutrition (PN) and enteral nutrition (EN), and the prevalence of PN and EN formulas, in the People’s Republic of China.MethodsFifty-nine hospitals in the People’s Republic of China participated in a nutrition survey. The resulting information on nutritional support was analyzed.ResultsWe received 379,584 nutritional-support prescriptions over 40 days in 2013. PN provided approximately 63.2% and EN provided approximately 36.8% of nitrogen intake. PN provided 63.5% and EN provided 36.5% of lipid intake. There were obvious differences in nitrogen and lipid intake between PN and EN in different regions, departments, and diseases. The percentage of nourishment provided by PN in different regions was highest in Chengdu, followed by the Beijing, Guangzhou, and Hangzhou areas. The percentage of nourishment provided by PN in different departments was highest in general surgery, followed by gastroenterology and the intensive care unit. The percentage of nourishment provided by PN in different diseases/conditions was highest in acute pancreatitis, followed by cancer, and burns. The main source of nitrogen in PN was balanced amino-acid preparations, and in EN, it was protein. The main source of lipids in PN was long- and medium-chain triglyceride lipid emulsion injection.ConclusionDespite recent improvements in the application of nutritional support in the People’s Republic of China, a much higher percentage of nitrogen and lipids is delivered through PN than through EN. Furthermore, there are marked regional, departmental, and disease-based differences in the selection of PN versus EN. The rationale for use of nutritional support needs to be improved.

show abstract

“…The Nutrition Risk in Critically ill (NUTRIC) is considered the best tool for assessing nutritional risk in the Intensive Care Unit (ICU) [4][5][6]. Critically ill patients on mechanical ventilation (MV) quickly developed malnutrition or aggravated a preexisting condition due to metabolic/oxidative stress associated with the inflammatory response and the constant catabolism [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

“…Under these conditions, the implementation and rigorous monitoring of enteral nutrition therapy (ENT) is extremely important in order to avoid possible calorie-protein deficit and exacerbate malnutrition [6]. The ENT is also considered, the preferred route when the gastrointestinal tract is structurally intact and functioning [6,8,10]. The nutrient supply through the digestive system assists in maintaining the architecture and intestinal microbiota, modulates the intestinal immune system and it is associated with lower incidence of infectious complications in surgical patients when compared to parenteral nutrition therapy [6,10].…”

Section: Introductionmentioning

confidence: 99%

Main Barriers in Control of Energy-Protein Deficit in Critical Oncologic Patient at Nutritional Risk

Filho¹,

Tamburrino²

2016

J Integr Oncol

View full text Add to dashboard Cite

Introduction: The Nutrition Risk in Critically ill (NUTRIC) score is a specific tool for assessing the nutritional risk in the Intensive Care Unit (ICU). Under these conditions, it is extremely important to monitor Enteral Nutrition Therapy and identify main barriers in the control of energy-protein deficit. Objective: To identify main barriers to control the energy-protein deficit in critically ill patients at nutritional risk, on enteral nutrition (EN) and on mechanical ventilation (MV). Methods: Prospective, observational, descriptive study was conducted in an ICU in 2015. Patients >19 years of age on MV and underwent EN for >72 hours. The data collected were NUTRIC score, Subjective Global Assessment (SGA), Cachexia Syndrome, APACHE II, SOFA, ICU time, MV and EN times and main barriers for pausing EN. The protein-calorie deficit was compiled into total days of EN.

show abstract

Best timing for energy provision during critical illness

Cited by 47 publications

References 47 publications

Accuracy of a Bedside Swallow Test After Extubation in ICU: A Prospective Validation of a Clinical Test Compared to a Fiberoptic Endoscopy.

Accuracy of a Bedside Swallow Test After Extubation in ICU: A Prospective Validation of a Clinical Test Compared to a Fiberoptic Endoscopy.

Current status of parenteral nutrition and enteral nutrition application: an assessment of nutritional prescriptions from 59 hospitals in the People’s Republic of China

Main Barriers in Control of Energy-Protein Deficit in Critical Oncologic Patient at Nutritional Risk

Contact Info

Product

Resources

About

Best timing for energy provision during critical illness

Cited by 47 publications

References 47 publications

Accuracy of a Bedside Swallow Test After Extubation in ICU: A Prospective Validation of a Clinical Test Compared to a Fiberoptic Endoscopy.

Accuracy of a Bedside Swallow Test After Extubation in ICU: A Prospective Validation of a Clinical Test Compared to a Fiberoptic Endoscopy.

Current status of parenteral nutrition and enteral nutrition application: an assessment of nutritional prescriptions from 59 hospitals in the People&rsquo;s Republic of China

Main Barriers in Control of Energy-Protein Deficit in Critical Oncologic Patient at Nutritional Risk

Contact Info

Product

Resources

About

Current status of parenteral nutrition and enteral nutrition application: an assessment of nutritional prescriptions from 59 hospitals in the People’s Republic of China