Delayed enteral feeding impairs intestinal carbohydrate absorption in critically ill patients*

Nguyen, Nam Q.; Besanko, Laura K.; Burgstad, Carly M.; Bellon, Max; Holloway, Richard H.; Chapman, Marianne J.; Horowitz, Michael; Fraser, Robert

doi:10.1097/ccm.0b013e31822d71a6

Cited by 62 publications

(36 citation statements)

References 26 publications

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“…Nine RCTs were extracted based on the systematic review conducted for this CQ 308, 309, 310, 311, 312, 313, 314, 315, 316. Mortality rate was assessed by eight RCTs; infection frequency, the length of ICU stay, and duration of ventilation were assessed by seven RCTs, and length of hospital stay was assessed by four RCTs.…”

Section: Cq13: Nutritionmentioning

confidence: 99%

The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2016 (J‐SSCG2016)

Nishida

Ogura

Egi

et al. 2018

Acute Medicine & Surgery

157

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Background and PurposeThe Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2016 (J‐SSCG 2016), a Japanese‐specific set of clinical practice guidelines for sepsis and septic shock created jointly by the Japanese Society of Intensive Care Medicine and the Japanese Association for Acute Medicine, was first released in February 2017 in Japanese. An English‐language version of these guidelines was created based on the contents of the original Japanese‐language version.MethodsMembers of the Japanese Society of Intensive Care Medicine and the Japanese Association for Acute Medicine were selected and organized into 19 committee members and 52 working group members. The guidelines were prepared in accordance with the Medical Information Network Distribution Service (Minds) creation procedures. The Academic Guidelines Promotion Team was organized to oversee and provide academic support to the respective activities allocated to each Guideline Creation Team. To improve quality assurance and workflow transparency, a mutual peer review system was established, and discussions within each team were open to the public. Public comments were collected once after the initial formulation of a clinical question (CQ), and twice during the review of the final draft. Recommendations were determined to have been adopted after obtaining support from a two‐thirds (>66.6%) majority vote of each of the 19 committee members.ResultsA total of 87 CQs were selected among 19 clinical areas, including pediatric topics and several other important areas not covered in the first edition of the Japanese guidelines (J‐SSCG 2012). The approval rate obtained through committee voting, in addition to ratings of the strengths of the recommendation and its supporting evidence were also added to each recommendation statement. We conducted meta‐analyses for 29 CQs. Thirty seven CQs contained recommendations in the form of an expert consensus due to insufficient evidence. No recommendations were provided for 5 CQs.ConclusionsBased on the evidence gathered, we were able to formulate Japanese‐specific clinical practice guidelines that are tailored to the Japanese context in a highly transparent manner. These guidelines can easily be used not only by specialists, but also by non‐specialists, general clinicians, nurses, pharmacists, clinical engineers, and other healthcare professionals.

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Section: Cq13: Nutritionmentioning

confidence: 99%

The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2016 (J‐SSCG2016)

Nishida

Ogura

Egi

et al. 2018

Acute Medicine & Surgery

157

View full text Add to dashboard Cite

show abstract

“…Group 2 and 3 patients with possible LRTI had significantly more supplemental oxygen-free days than patients with probable/proven LRTI (29 days [IQR, 28-29 days] vs 17 days [IQR, 0-29 days]; P < .0001). Of the 9 subjects who died by day 28, only Death by day 28 4 (2) 6 (11) 0 (0) 6 (22) 5 (15) 0 (0) 5 (33) 0 (0) 11 (26) 3 had any supplemental oxygen-free days in that period. Thus, calculation of supplemental oxygen-free days per definition 2 did not change medians for any groups ( Supplementary Table 4).…”

Section: Supplemental Oxygen-free Days Following Rsv Infection Diagnosismentioning

confidence: 99%

Supplemental Oxygen–Free Days in Hematopoietic Cell Transplant Recipients With Respiratory Syncytial Virus

Waghmare¹,

Kimball

et al. 2017

The Journal of Infectious Diseases

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“…A demora de três dias em iniciar a NE, a doença crítica e o estresse oxidativo, conduzem a uma redução no tamanho da vilosidade e na profundidade da cripta, assim como no aumento na permeabilidade intestinal (o que permite o escape de bactérias Gram negativas), ulceração e atrofia da mucosa (Chan, 2009). A presença de nutrientes no lúmen intestinal pode prevenir estes efeitos deletérios (Nguyen et al, 2012) …”

Section: Alterações Metabólicas No Animal Enfermounclassified

“…A infusão de aminoácidos deve ser diminuída em pacientes com alterações renais ou encefalopatia hepática e aumentada em enfermidades que provoquem perdas profundas e contínuas de proteína como, por exemplo, enteropatias ou peritonite (Lehninger, 2006, Liu et al, 2012, Nguyen et al, 2012. Dois aminoácidos que merecem destaque em nutrição clínica de cães são a arginina e a glutamina.…”

Section: Aminoácidosunclassified

Nutrición clínica de perros hospitalizados: Revisión

Ferreira¹,

Silva

Ferraz

et al. 2017

Pubvet

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RESUMO.Conforme demonstram vários estudos, a nutrição de cães hospitalizados é de extrema importância para a recuperação do paciente. Porém, infelizmente, muitas vezes esse aspecto é negligenciado na Medicina Veterinária. Assim, desenvolveu-se este trabalho com o objetivo de esclarecer a importância da implementação de suporte nutricional adequado para cães internados e sua relação com os quadros clínicos mais comumente encontrados na rotina.Palavras chave: Canino, enteral, metabolismo, parenteral, patologias Hospitalized dogs clinical nutrition: ReviewABSTRACT. Several studies show that nutrition of hospitalized dogs is important for patient recovery. However this aspect is often neglected in veterinary medicine. Thus, this work was developed with the purpose of clarifying the importance of the adequate nutritional support implementation for hospitalized dogs and its relation with the most commonly found in the clinical routine.Keywords: Canine, enteral, metabolism, parenteral, pathologies Nutrición clínica de perros hospitalizados: Revisión REUMEN. Como demuestran varios estudios, la nutrición de perros hospitalizados es de extrema importancia para la recuperación del paciente. Sin embargo, muchas veces ese aspecto es descuidado en la Medicina Veterinaria. Así, se desarrolló este trabajo con el objetivo de esclarecer la importancia de la implementación de suporte nutricional adecuado para perros internados y su relación con los cuadros clínicos más comúnmente encontrados en la rutina. Palabras clave: Canino, enteral, metabolismo, parenteral, patologías IntroduçãoA maioria dos animais que necessitam de internação em clínicas e hospitais veterinários apresentam quadro clínico grave e alguma alteração sistêmica que pode expor o mesmo a risco de morte, exigindo intervenção imediata do médico veterinário. Para agravar o quadro clínico, anorexia ou desnutrição estão associadas a esses distúrbios sistêmicos em boa parte dos casos ou ainda podem se desenvolver em animais criticamente doentes (Chan and Freeman, 2006). Na prática veterinária o suporte nutricional ainda possui prioridade pequena e não faz parte da rotina médica de clínicas e hospitais. É importante lembrar que, durante os períodos de privação de nutrientes, um paciente doente ou traumatizado, preferencialmente, irá catabolizar massa magra quando o fornecimento de calorias for

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Delayed enteral feeding impairs intestinal carbohydrate absorption in critically ill patients*

Cited by 62 publications

References 26 publications

The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2016 (J‐SSCG2016)

The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2016 (J‐SSCG2016)

Supplemental Oxygen–Free Days in Hematopoietic Cell Transplant Recipients With Respiratory Syncytial Virus

Nutrición clínica de perros hospitalizados: Revisión

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