SCCM Resource Library-Continued Enteral Nutrition Until Extubation Compared to Fasting Prior to Extubation in the Intensive Care Unit: A Cluster Randomised Trial (Lancet Respiratory Medicine)

Continued Enteral Nutrition Until Extubation Compared to Fasting Prior to Extubation in the Intensive Care Unit: A Cluster Randomised Trial (Lancet Respiratory Medicine)

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Video Transcription

Video Summary

Dr. Stephan Ehrman, a critical care medicine professor, presented a study on the practice of fasting prior to extubation in the intensive care unit (ICU). Fasting is commonly done to reduce the risk of aspiration during extubation, but its effectiveness in the ICU has not been evaluated. Dr. Ehrman discussed the perceived risk of aspiration after extubation and the frequency of dysphagia in ICU patients. He highlighted the association between dysphagia and extubation failure, pneumonia, and mortality. The study compared continued enteral nutrition until extubation with fasting and found that continued enteral nutrition was non-inferior in terms of extubation failure. The findings support changes in clinical practice towards continued enteral nutrition until extubation.

Asset Subtitle

Pulmonary, GI and Nutrition, 2023

Asset Caption

Type: two-hour concurrent | Late-Breaking Studies Affecting Patient Outcomes (SessionID 9000007)

Meta Tag

Content Type Presentation

Knowledge Area Pulmonary

Knowledge Area GI and Nutrition

Membership Level Professional

Membership Level Select

Tag Extubation

Tag Nutrition

Year 2023

Keywords

fasting prior to extubation

ICU patients

dysphagia

extubation failure

continued enteral nutrition

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