COVID-19 can rapidly progress into acute respiratory distress syndrome accompanied by multi-organ failure requiring invasive mechanical ventilation and critical care treatment. Nutritional therapy is a fundamental pillar in the management of hospitalized patients. It is broadly acknowledged that overfeeding and underfeeding of intensive care unit (ICU) patients are associated with increased morbidity...
Among other important risk factors for severe COVID-19 outcomes, obesity has emerged along with undernutrition-malnutrition as a strong predictor of disease risk and severity. Obesity-related excessive body fat may lead to respiratory, metabolic and immune derangements potentially favouring the onset of COVID-19 complications. Early after the onset of the COVID-19 pandemic, the European Society...
Indirect calorimetry (IC) is the gold-standard for determining measured resting energy expenditure (mREE) in critical illness. When IC is not available, predicted resting energy expenditure (pREE) equations are commonly utilized, which often inaccurately predict metabolic demands leading to over- or under-feeding. This study aims to longitudinally assess mREE via IC in critically ill patients with...
Critical illness demands objective, targeted nutritional therapy to prevent adverse effects of underfeeding/ over feeding. Thus, all recent societal guidelines recommend indirect calorimetry use to determine energy needs. Current commercially available indirect calorimeters are often inaccurate, and the inconveniences have led to significant challenges to routine indirect calorimetry use in ICU...
A major driver leading to the lack of emphasis on timely ICU nutrition delivery is lack of objective data to guide nutrition care. If we are to ultimately overcome current fundamental challenges to effective ICU nutrition delivery, we must all adopt routine objective, longitudinal measurement of energy targets via indirect calorimetry (IC). Key evidence supporting the routine use of IC in the ICU...
More Articles …
- The Role of Nutrition in the COVID-19 Pandemic
- Nutritional and metabolic management of the COVID 19 intensive care patient
- Energy delivery guided by indirect calorimetry in critically ill patients: a systematic review and meta-analysis
- Review of evolution and current status of protein requirements and provision in acute illness and critical care
