SCCM Resource Library-Implications of Vitamin D During Critical Illness

Video Transcription

Video Summary

In this video, Jeremiah Duby discusses the implications of vitamin D deficiency in critically ill patients. He explains that vitamin D deficiency is common in critically ill patients and is associated with increased length of stay and mortality. He also discusses the challenges faced by researchers in terms of determining the optimal agent, dose, frequency, and duration for vitamin D replacement. Duby highlights several clinical trials that have investigated the effects of vitamin D replacement in critically ill patients, including the Vital ICU study and the VIOLET study. He notes that there appears to be a mortality benefit for vitamin D3 replacement in patients with severe deficiency, as well as an advantage in duration of mechanical ventilation. However, no clear strategy for dosing, duration, or monitoring has yet emerged. Duby suggests that patients with severe vitamin D deficiency, ARDS, or at risk for COVID-19 may benefit from vitamin D replacement. He also mentions that vitamin D replacement is well tolerated and inexpensive, but more research is needed to determine the optimal approach.

Asset Subtitle

GI and Nutrition, 2022

Asset Caption

This session will cover less common elements of ICU practice, such as the implication of underlying deficiencies and controversies surrounding supplementation.

Meta Tag

Content Type Presentation

Knowledge Area GI and Nutrition

Knowledge Level Intermediate

Knowledge Level Advanced

Membership Level Select

Tag Nutrition

Year 2022

Keywords

vitamin D deficiency

critically ill patients

mortality

clinical trials

vitamin D replacement

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