SCCM Resource Library-Why Am I Still Hungry? Important Parameters of Optimizing Nutrition in the Multitrauma ICU Patient With Severe Obesity

Why Am I Still Hungry? Important Parameters of Optimizing Nutrition in the Multitrauma ICU Patient With Severe Obesity

Video Transcription

Video Summary

In this video, Janine Berta, a clinical nutrition supervisor at Stanford HealthCare, discusses the metabolic response to trauma and the nutrition care process for trauma patients. She explains that trauma patients typically present well-nourished, but may still suffer from malnutrition due to the metabolic changes caused by the trauma. The goals of medical nutrition therapy for trauma patients are to provide individualized nutrition interventions to promote healing, recovery, and health, as well as to identify and treat malnutrition. Berta emphasizes the importance of accurate estimation of nutrient needs, particularly in obese trauma patients, and suggests using indirect calorimetry when available. She also discusses the use of immune modulating formulas, volume-based tube feeding, and supplemental parenteral nutrition in the ICU setting. Finally, she provides practical tips for feeding trauma patients, including addressing challenges related to frequent operations, hemodynamic instability, limited enteral access, and discontinuation of artificial nutrition.

Asset Subtitle

GI and Nutrition, 2023

Asset Caption

Type: two-hour concurrent | Trauma Strategies: Patients With Severe Obesity in the ICU (SessionID 1227137)

Meta Tag

Content Type Presentation

Knowledge Area GI and Nutrition

Membership Level Professional

Membership Level Select

Tag Obesity

Year 2023

Keywords

metabolic response

nutrition care process

trauma patients

medical nutrition therapy

malnutrition

nutrient needs

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