Critical Care Time 21. Feeding in Critical Illness with Paul Wischmeyer, MD
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Apr 8, 2024 Renowned expert Paul Wischmeyer discusses ICU nutrition myths, protein needs, and metabolic carts. Debunks misconceptions about feeding in critical care, TPN, and supplements. Emphasizes personalized nutrition, evidence-based practices, and advancements in critical care nutrition protocols.
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Early ICU Nutrition
- Poor nutrition practices in US ICUs are detrimental to patient outcomes.
- Provide adequate nutrition early, aiming for at least 70-80% of caloric needs.
Measure to Optimize
- US nutrition practices lag behind other countries, partly due to lack of medical education on clinical nutrition.
- Measuring energy expenditure with metabolic carts allows personalized nutrition, like other ICU interventions.
Personalized Approach
- Personalized nutrition is crucial, starting slow with calories and protein, then escalating towards the goal.
- Metabolic cart measurements should be conducted weekly or after any significant change in a patient's condition.