Deep Dive: Microbiomes – An Update on Our Ten Trillion Friends and How to Keep That Friendship Going-Targeting the Gut Microbiome as Part of Nutritional Planning in Critically Ill Patients

Targeting the Gut Microbiome as Part of Nutritional Planning in Critically Ill Patients

Video Transcription

Video Summary

The transcript is a presentation by Gail Cresci, an Associate Professor at Cleveland Clinic, on targeting the gut microbiome in nutritional planning for critically ill patients. The gut microbiome plays a crucial role in digestion and protection against pathogens. Factors like diet, medications, and stress influence the gut microbiota. Critical illness impacts the gut microbiome, leading to dysbiosis. Enteral feeding is preferable to parenteral nutrition as it supports gut microbiome health, but low-fiber diets in critical care settings can disrupt the microbiome. Studies show that real food formulations and fiber supplementation in enteral nutrition may benefit the gut microbiome. However, probiotics' routine use in critically ill patients is not recommended due to limited evidence of clinical benefits. Further research is needed on the impact of different enteral formulations and supplementation on the gut microbiome in critically ill patients. Promoting a gradual introduction of fiber and understanding the quality of nutrients provided in nutrition support are essential for maintaining gut health in critically ill individuals.

Asset Caption

Gail Cresci

Keywords

Gut microbiome

Nutritional planning

Critically ill patients

Enteral feeding

Dysbiosis

Fiber supplementation

Probiotics

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