Critical Care

Hear about the original findings from Inselpital, Bern where they discovered surprising results when they measured all the nutritional inputs for their patients, using indirect calorimetry - which has led to several changes in their practice.

The ICU nutrition management is challenging. Hear the results of a recent RCT which demonstrates metabolic differences when different nutrition formulas are chosen.

Why skeletal muscle can be a determinant of ICU recovery - learn more about the complex processes contributing to muscle recovery.

Desktop application to target your patients protein and energy needs based on his/her variables.

Presented by: Daren K. Heyland, MD This program presented on October 25, 2018 identifies large RCTs that may have contributed to the confusion around full vs. trophic feeds in the ICU patient and explains why these large RCTs should be reviewed closely before changing practice. Dr. Heyland shares his research with protein delivery demonstrating positive outcomes at 80% of estimated protein needs as the ideal amount and reviews the PEPuP protocol as an example of how to improve enteral nutrition delivery in the ICU. RDs and DTRs practicing in the US may log CPE activities under Activity Type 175 for up to three years from the original presentation date. This program is eligible for 1 CPEU. The activity number for viewing this recording through October 24, 2021 is 145358 (level 2). T o learn more about submitting this activity type visit CDR: https://www.cdrnet.org/new-recorded-preapproved-CPE-activity-type

I Minute I Question: What has changed in the metabolic care of ICU patients? I Answer: Juan Ochoa, Global Manager Clinical Affairs Acute Care Nutrition, Nestlé Health Science The science of nutrition in the intensive care unit has moved from that of food substitution to really focusing on the metabolic care of these patients. To be able to achieve better outcomes we have to do two things. The first one is understand the science and the second one is to create products that allows us to test the number of hypothesize and to achieve good clinical outcomes, and that is what we have created. We have created a product that changes a paradigm from traditional nutritional goals to metabolic care delivering higher amounts of protein and avoiding excessive carbohydrates. By doing that we have been able to demonstrate, through prospective clinical trials, that we avoid hyperglycemia and are able to deliver better amounts of proteins in these patients.

A review of evidence supporting protein delivery in the ICU and the need for quality improvement initiatives aimed at delivering more protein to critically ill patients.