ICU Ed and Todd-Cast
New/Old: NUTRIREA 3 and 1
Apr 11, 2023
Delving into NUTRIREA 3 vs NUTRIREA 1, the hosts discuss calorie feeding in ventilated adults with shock and the importance of monitoring gastric volumes. They explore patient cohorts, nutritional interventions, and personalized nutrition strategies in critical care, highlighting debates on weaning criteria and traditional practices.
42:04
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Quick takeaways
- The Nutra Rhea 3 study showed no significant difference in 90-day mortality but a faster ICU discharge readiness in the lower calorie group.
- Recent trials question the benefits of full feeding in critically ill patients, suggesting similar outcomes with lower feeding strategies.
Deep dives
Nutra Rhea 3 Study Overview
The Nutra Rhea 3 study compared low versus standard calorie and protein feeding in ventilated adults with shock. Conducted in 61 ICUs in France with 3,044 patients, the study found no significant difference in 90-day mortality but a faster time to readiness for ICU discharge in the lower calorie group. While some debates exist on the impact of full feeding, the study suggests similar outcomes with lower feeding strategies in critically ill patients.
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