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Implications of Vitamin D During Critical Illness
Implications of Vitamin D During Critical Illness
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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
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Tag
Nutrition
Year
2022
Keywords
vitamin D deficiency
critically ill patients
mortality
clinical trials
vitamin D replacement
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