SCCM Resource Library-Is Protein the Most Important Substrate?

Video Transcription

Video Summary

In this video, the speaker discusses the importance of protein in critically ill patients. They explain how critical illness can lead to significant proteolysis and muscle loss, resulting in negative nitrogen balance. The current clinical practice guidelines recommend higher protein intake for ICU patients compared to healthy individuals. However, the speaker highlights that observational data supporting higher protein intake is limited and there may even be potential harm in giving too much protein in the early phase of acute illness. They also discuss the optimal protein dosage for critically ill patients, highlighting the lack of strong evidence in this area. The guidelines vary in their recommendations. The speaker also touches on protein dose in special conditions such as obesity, high nutritional risk, and renal and hepatic insufficiency. Ongoing trials are mentioned, which will provide more information on protein dosage in critically ill patients. The speaker concludes by emphasizing the need for further research on protein dosage, timing, type, mode of administration, and combination with other interventions such as exercise.

Asset Subtitle

GI and Nutrition, 2023

Asset Caption

Type: two-hour concurrent | What's Cooking in the ICU? Nutritional Considerations in the Critically Ill (SessionID 1201836)

Meta Tag

Content Type Presentation

Knowledge Area GI and Nutrition

Membership Level Professional

Membership Level Select

Tag Nutrition

Year 2023

Keywords

protein

critically ill patients

proteolysis

muscle loss

nitrogen balance

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