Multiprofessional Critical Care Review: Adult 2024 (MCCRCA24ON)-10: Nutrition Support in the ICU (Michelle Kozeniecki, MS, RD, CNSC, CCTD, FASPEN)

10: Nutrition Support in the ICU (Michelle Kozeniecki, MS, RD, CNSC, CCTD, FASPEN)

Video Transcription

Video Summary

In this video, the speaker discusses nutrition support in the ICU. They cover the role of the gut during critical care, recommendations for timing and type of nutrition therapy, and the impact of macronutrients on ICU patients. They present a case study of a patient with severe malnutrition who develops complications such as acute kidney injury and respiratory failure. The speaker emphasizes the importance of early enteral nutrition to maintain gut integrity and prevent complications like gut dysfunction and multiple organ failure. They also discuss the use of parenteral nutrition when enteral nutrition is not feasible or sufficient. The speaker addresses the challenges of feeding patients who are on vasopressors and at risk for refeeding syndrome. They provide recommendations for adjusting nutrition therapy based on malnutrition status, nutrition risk, hemodynamic stability, and the presence of refeeding syndrome. The speaker concludes by highlighting the importance of protein intake and its impact on outcomes in critically ill patients.

Keywords

nutrition support

ICU

gut integrity

macronutrients

enteral nutrition

parenteral nutrition

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