SCCM Resource Library-Nutrition in the Unstable Critically Ill Patient

Video Transcription

Video Summary

In this video, Jay Patel discusses the challenges and considerations for feeding unstable ICU patients, with a focus on paralysis, circulatory shock, prone positioning, and extracorporeal membrane oxygenation (ECMO). Patel explores the potential risks and benefits of enteral nutrition in each of these contexts. In patients who are paralyzed, observational data suggests that enteral nutrition is safe and tolerated, but more research is needed. In patients with circulatory shock, low-dose enteral nutrition appears to be safe and may improve outcomes, although larger randomized controlled trials are lacking. Observational data also suggest that enteral nutrition is well-tolerated in patients who are prone-positioned. In patients on ECMO, there is limited evidence, but observational studies suggest that early enteral nutrition is feasible and associated with improved outcomes. However, more research is needed to establish the efficacy of enteral nutrition in these patient populations.

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

ICU patients

enteral nutrition

circulatory shock

prone positioning

ECMO

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