SCCM Resource Library-Nutrition Therapy and the 3Ms: Microbiome, Mitochondria, and Muscle

Video Transcription

Video Summary

In this video, three speakers discuss different topics related to nutrition and its impact on patients in the intensive care unit (ICU). The first speaker emphasizes the importance of optimizing nutrition for patients in the ICU, specifically focusing on the role of nutrition in healing and recovery. They discuss the impact of malnutrition on patient outcomes and highlight the need for more knowledge in order to optimize nutrition in this setting. The second speaker focuses on the role of the gut microbiome in critical care nutrition. They explain how the microbiome can be affected by antibiotics, antiseptics, and other factors in the ICU, leading to dysbiosis and potential complications. They also discuss the potential benefits of prebiotics and butyrate supplementation in supporting gut health and overall patient outcomes. The third speaker explores the impact of mitochondrial dysfunction on patients in the ICU. They explain how oxidative stress and inflammation can result in mitochondrial dysfunction and subsequent organ failure. They highlight the importance of understanding and addressing this dysfunction in order to improve patient outcomes. Lastly, the video concludes with a discussion on the choice between continuous and intermittent feeding in the ICU. The speaker explains that intermittent feeding may be more effective in achieving nutritional targets and suggests that continuous feeding can have negative effects on muscle protein synthesis. They present the findings of a clinical trial comparing intermittent and continuous feeding and discuss the potential implications for preventing acute muscle wasting in critically ill patients. Overall, the speakers underscore the importance of nutrition in the ICU and highlight the need for further research and optimization in this area.

Asset Subtitle

GI and Nutrition, 2021

Asset Caption

The Society of Critical Care Medicine's Critical Care Congress features internationally renowned faculty and content sessions highlighting the most up-to-date, evidence-based developments in critical care medicine. This is a presentation from the 2021 Critical Care Congress held virtually from January 31-February 12, 2021.

Learning Objectives

Examine supplements and specialty formulas that modulate the gut microbiome
Identify the impact of nutrition therapy on mitochondrial function
Discuss the potential impact of continuous versus bolus feeding on muscle synthesis and function in critically ill patients

Does Modulating the Gut Microbiome Shift the ICU Patient Toward Recovery? Robert G. Martindale Mitochondrial Dysfunction in Critical Illness: Implications for Nutrition Therapy Stephen McClave Continuous or Intermttent Feeding: Could the Choice Impact Our Patients' Muscle? Zudin Puthucheary

Meta Tag

Content Type Presentation

Knowledge Area GI and Nutrition

Knowledge Level Advanced

Membership Level Select

Tag Enteral Nutrition

Year 2021

Keywords

nutrition

ICU

malnutrition

gut microbiome

mitochondrial dysfunction

continuous feeding

intermittent feeding

clinical trial

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