Supportive Care of A Critically Ill Child

Saharan, Sunil; Lodha, Rakesh; Kabra, S. K.

doi:10.1007/s12098-010-0352-2

Cited by 5 publications

(5 citation statements)

References 42 publications

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“…We assessed anthropometric indices BMI, weight, and height simultaneously; downward trends of which are favorable with chemical results and corroborative of nutritional status worsening in our patients. It has been shown that regular measurement of malnutrition in child critically ill patients is necessary to remain healthy ( 15 ). A study on ICU patients released by Azad et al conducted in 2011 showed similar results as ours; their patients needed nutritional support, too ( 16 ).…”

Section: Discussionmentioning

confidence: 99%

The assessment of the malnutrition in traumatic ICU patients in Iran

Kimiaei-Asadi¹,

Tavakolitalab²

2017

Electron Physician

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BackgroundDespite recognition of the importance of nutritional feedings, the delivery of optimal nutrition remains difficult to achieve in most intensive care units (ICU).ObjectiveTo assess the status of malnutrition in traumatically ill patients hospitalized in an ICU in Iran.MethodsThis descriptive, cross-sectional study was conducted in Hamadan, Iran, on 123 patients in an ICU ward over six months with the purpose of assessing malnutrition status. Malnutrition and its severity were assessed based on the defined chemical parameters on admission and the end of stay times. Also, body mass index (BMI), weight (W), and height (H) anthropometric indices were assessed simultaneously to be compared with the chemical results. For statistical analysis we used SPSS version 16 software.ResultsOverall, 83% of patients had malnutrition on admission to ICU, which was 90% on discharge or near-death condition, indicating increase of the prevalence of malnutrition within hospitalization in this ward. On admission, 11% of patients had mild, 61% moderate, and 11% severe malnutrition that reached to 4%, 63%, and 23%, respectively, by the end of the stay. BMI was significantly different in the patients who completed two weeks in the ICU (p<0.05). Assessment of the correlation between admission and two week completed stay showed that BMI, H, and W were positively correlated (r=0.85), (r=1.0), and (r=0.638), (p<0.05), respectively. There were no significant correlations in these parameters in the fourth week. Assessing the changes in anthropometric parameters showed downward trends of both weight and body mass index within ICU hospitalization.ConclusionAs shown in our study, inattention to needs of critically ill patients or lack of facilities results in developing and worsening of malnutrition, which, in turn, considerably worsens the outcome. To supply the needs of these in-hypermetabolic state patients, the importance of nutrition and its effect on outcome must be understood by medical staff; close monitoring of the nutritional status of these patients, along with meticulous calculations and team work, must be done and appropriate supportive routs be used.

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Section: Discussionmentioning

confidence: 99%

The assessment of the malnutrition in traumatic ICU patients in Iran

Kimiaei-Asadi¹,

Tavakolitalab²

2017

Electron Physician

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“…Prolonged immobility due to chronic encephalopathy predisposes patients to pressure sores. Daily assessment of indwelling catheters is vital to prevent health-care-associated infections 17 .…”

Section: Correspondencementioning

confidence: 99%

Additional considerations for "checklists to guide the supportive and critical care of tuberculous meningitis"

Behl

Dhawan

2020

Wellcome Open Res

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Checklists are pivotal in the systematic assessment of critically ill patients, pre-operative assessments and for patients with multisystem involvements. Management of tuberculous meningitis is challenging due to prolonged hospital stay, multiple neurological complications like seizures, stroke, raised intracranial tension, stroke, neurosurgical interventions, multiple invasive procedures, health-care-associated sepsis, and ventilation. All these complications are managed by separate checklists to avoid treatment-related errors. The current manuscript aims to ensure completeness of inpatient care addressing issues addressing diagnostic issues, supportive care, and intensive care related issues.

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“…Dennoch gibt es inzwischen deutlich strengere Empfehlungen als vor 2001 zur Begrenzung des Blutglukosespiegels bei Intensivpatienten: Die Werte sollten zwischen 80 -180 mg/ dl (4,4 -10 mmol/L) liegen [27]. Bei Kindern sollte ein Wert von 150 mg/dl (8,3 mmol/L) nicht überschritten werden [28] (▶ Abb. 2).…”

Section: Merkeunclassified

Zuckertoxizität: Konsequenzen für Adipositas, Diabetes, Karies und die Intensivmedizin

Bischoff

Schweinlin

2018

Aktuel Ernahrungsmed

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ZusammenfassungOhne Zucker ist kein menschliches Leben möglich. Allein das menschliche Gehirn benötigt ca. 140 g Glukose pro Tag. Daher müssen Zucker und Nahrungsstoffe, die zu Zucker metabolisiert werden können, über die Nahrung aufgenommen werden. Zucker ist somit weder schlecht noch toxisch – es sei denn, er wird in sehr hohen Mengen konsumiert. Laut Deutscher Gesellschaft für Ernährung (DGE) und Weltgesundheitsorganisation (WHO) sollten maximal 50 g Zucker pro Tag mit der Nahrung aufgenommen werden. Der restliche Zuckerbedarf wird endogen synthetisiert. Dieser Grenzwert wurde über Jahrtausende eingehalten, zumal für die Mehrheit der Menschen Zucker nur sehr begrenzt verfügbar war.In den letzten Jahren hat der Zuckerkonsum aber drastisch zugenommen. Laut Wissenschaftlichem Dienst des Deutschen Bundestages wurden 2016 in Deutschland pro Tag durchschnittlich ungefähr 100 g verzehrt. Bei Jugendlichen und jungen Erwachsenen sogar 150 – 200 g/d, bei älteren Erwachsenen 50 – 150 g/d. Diese hohe Zuckeraufnahme erfolgt offensichtlich v. a. über Limonaden, Säfte und Süßwaren, aber auch durch „versteckte Zucker“, wie sie z. B. in Fertignahrungsmitteln und Ketchup oder Senf enthalten sind. Oft findet sich auch reichlich Zucker in vermeintlich gesunden Lebensmitteln, wie z. B. Cerealien, Fruchtjoghurt oder Bonbons mit Vitaminzusatz. In diesen Dosen kann Zucker tatsächlich toxische Eigenschaften bekommen und gesundheitsschädigend sein.

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Supportive Care of A Critically Ill Child

Cited by 5 publications

References 42 publications

The assessment of the malnutrition in traumatic ICU patients in Iran

The assessment of the malnutrition in traumatic ICU patients in Iran

Additional considerations for "checklists to guide the supportive and critical care of tuberculous meningitis"

Zuckertoxizität: Konsequenzen für Adipositas, Diabetes, Karies und die Intensivmedizin

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