Multiprofessional Critical Care Review: Adult 2024 (MCCRCA24ON)-Nutrition Support in the ICU

Video Transcription

Video Summary

The speaker, a dietitian, makes crucial points on nutrition in the context of ICU patients. She stresses the importance of pulling out nasogastric tubes during palliative extubation and warns against starvation fears. She highlights the necessity of glycemic control adjustments, urging not to discard existing protocols but to change target ranges. Discussing a case study of an ICU patient with severe respiratory failure and nutritional risk, the dietitian emphasizes the significant metabolic instabilities and gut dysfunction risks. She argues that early enteral nutrition, even in minimal amounts, is preferable to protect the gut barrier. However, she cautions against overfeeding and recommends not exceeding 70% of caloric needs in the first week. For patients with severe malnutrition, supplemental parenteral nutrition is encouraged if enteral trials fail. Her guidance underscores a balanced, phased strategy to optimize patient outcomes.

Keywords

ICU nutrition

palliative extubation

glycemic control

enteral nutrition

metabolic instability

parenteral nutrition

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