A reappraisal of nitrogen requirements for patients with critical illness and trauma

Dickerson, Roland N.; Pitts, Stefanie L.; Maish, George O.; Schroeppel, Thomas J.; Magnotti, Louis J.; Croce, Martin A.; Minard, Gayle; Brown, Rex O.

doi:10.1097/ta.0b013e318256de1b

Cited by 108 publications

(152 citation statements)

References 32 publications

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“…In nutritional guidelines for critically ill patients, the recommendation is upgraded to 1.2-3.0 g/kg/day, with considerable variation between publications [3][4][5]. This variation reflects the insufficient level of evidence that exists, together with the difficulty assessing the efficacy of protein intake.…”

Section: Present Recommendations and The Background Evidencementioning

confidence: 99%

Protein Intake in Critical Illness

Rooyackers

Wernerman

2015

Annual Update in Intensive Care and Emergency Medicine

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Section: Present Recommendations and The Background Evidencementioning

confidence: 99%

Protein Intake in Critical Illness

Rooyackers

Wernerman

2015

Annual Update in Intensive Care and Emergency Medicine

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“…Finally, all patients received only 1 g/ kg/d or less of protein despite provision of "high protein containing" enteral formulas. Unfortunately, this protein intake is inadequate for most critically ill surgical or trauma patients 13 ; this may have influenced outcomes (eg, lack of clinical benefit) for these subpopulations. Congruent with the MetaPlus findings, the 2016 SCCM-A.S.P.E.N.…”

Section: Van Zanten Et Al (2014) High-protein Enteralmentioning

confidence: 99%

Significant Published Articles for Pharmacy Nutrition Support Practice in 2014 and 2015

et al. 2016

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Purpose:To assist the pharmacy clinician engaged in nutrition support in staying current with the most pertinent literature. Methods: Several experienced board-certified clinical pharmacists engaged in nutrition support therapy compiled a list of articles published in 2014 and 2015 that they considered to be important to their practice. Only those articles available in print format were considered for potential inclusion. Articles available only in preprint electronic format were not evaluated. The citation list was compiled into a single spreadsheet where the author participants were asked to ascertain whether they considered the paper important to nutrition support pharmacy practice. A culled list of publications was then identified whereby the majority of author participants (at least 5 out of 8) considered the paper to be important. Results: A total of 108 articles were identified; 36 of which were considered to be of high importance. An important guideline article published in early 2016, but not ranked, was also included. The top-ranked articles from the primary literature were reviewed. Conclusion: It is recommended that the informed pharmacist, who is engaged in nutrition support therapy, be familiar with the majority of these articles. 2016;51:539-552 S taying current with the literature is a requirement for the informed pharmacist who maintains an evidence-based clinical practice. This requirement has become more challenging to fulfill as a paradigm shift has changed the practice culture of a full-time pharmacy nutrition support specialist to a more integrated model whereby the clinical pharmacist provides pharmacotherapy services along with nutrition support responsibilities. As a result of this change, informed clinicians are responsible for staying abreast of numerous therapeutic areas that interface with their clinical practice in addition to nutrition support therapy. Because nutrition support therapy is integrated with many divergent specialized fields (eg, Key Words-consensus, enteral nutrition, guidelines, outcomes, parenteral nutrition Hosp Pharm

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“…2 A protein intake of ≥ 2 g/kg/day was needed to ensure a protein balance in a recent study on trauma patients. 3 Even though nutrition experts may not necessarily agree on the optimal timing of the initiation of parenteral nutrition, all agree that the enteral route should be used as the first option, provided that the gut is functional. 2,4-8 The concept of early enteral feeding (EEF) refers to the initiation of enteral nutrition within the first 24-48 hours post injury.…”

Section: Should Early Enteral Nutrition Be Used In the Trauma Intensimentioning

confidence: 99%

“…renal impairment, pressure sores, additional surgery needs, prolonged mechanical ventilation, extended length of stay, nosocomial infections and increased mortality. [1][2][3][4][5]8 The benefits and outcomes of EEF in critically ill trauma patients were investigated in a local study, the first large study in this population in South Africa. It is reported by Löfgren et al in this issue of the SAJCN.…”

Section: Should Early Enteral Nutrition Be Used In the Trauma Intensimentioning

confidence: 99%

“…However, both protocols seem to be successful in ensuring a better intake without sacrificing gastrointestinal tolerance. 12,13 A few general feeding recommendations which can be applied to critically ill trauma patients include: [1][2][3][5][6][7] • Starting enteral nutrition as soon as possible after ICU admission, increasing it according to gut tolerance, and administering prokinetics, if needed.…”

Section: Should Early Enteral Nutrition Be Used In the Trauma Intensimentioning

confidence: 99%

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