Multiprofessional Critical Care Review: Adult 2024 (MCCRCA24ON)-09

09_Nutrition Support

Pdf Summary

The document discusses nutrition support in the ICU, focusing on the role of gut health in critical care, metabolic transitions during different phases of critical illness, and the impact of nutrition on patient outcomes. It includes information on the potential consequences of gut dysfunction, the importance of early enteral nutrition (EN) in maintaining gut barrier function, and guidelines for nutrition therapy in critically ill patients. <br /><br />A case study of a 55-year-old male admitted to the ICU with various complications is used to illustrate the application of nutrition support strategies, such as estimating energy and protein needs, adjusting feeding regimens based on patient status, and considerations for transitioning from PN to EN. Evidence from studies like NUTRIREA-2 and NUTRIREA-3 is referenced to support the benefits of early nutrition support in critically ill patients.<br /><br />Key points highlighted in the document include the preference for EN over PN, avoiding overfeeding in the acute phase, monitoring for refeeding syndrome, adjusting nutrition regimens based on patient stability, and the significance of reevaluating nutritional goals throughout the patient's recovery. In the case study presented, the patient underwent a comprehensive nutrition management plan involving EN, PN supplementation, and addressing concerns like malnutrition and dysphagia.<br /><br />Overall, the document emphasizes the critical role of nutrition support in improving outcomes for ICU patients and underscores the importance of tailored and timely nutrition interventions to support the healing process and enhance patient recovery.

Keywords

ICU

nutrition support

gut health

critical care

enteral nutrition

parenteral nutrition

patient outcomes

malnutrition

refeeding syndrome

NUTRIREA studies

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