Nutrition Support Team Reconsultation During Nutrition Therapy in Korea

Abstract Background Several studies have reported the implementation of nutrition therapy and rehabilitation for acute and critical illnesses. However, rehabilitation nutrition for elderly sarcopenia patients with extremely severe postoperative complications during hospitalization has not yet been established. Case presentation We report the case of a 70-year-old man with sarcopenia that developed as a postoperative complication of the surgical resection of perihilar cholangiocarcinoma and left the patient bedridden from prolonged malnutrition and muscle weakness. The patient’s general condition improved after a nearly 6-month intervention by our Nutrition Support Team (NST) that combined nutrition, exercise, and pharmacotherapy. Conclusions The appropriate timing and order of pharmacotherapy, nutrient administration, exercise therapy, and team collaboration may enable elderly patients with severe (secondary) sarcopenia and postoperative complications to regain self-sustained walking.

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Impact of Propofol Sedation upon Caloric Overfeeding and Protein Inadequacy in Critically Ill Patients Receiving Nutrition Support

Pharmacy ◽

10.3390/pharmacy9030121 ◽

2021 ◽

Vol 9 (3) ◽

pp. 121

Author(s):

Roland N. Dickerson ◽

Christopher T. Buckley

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Enteral Nutrition ◽

Parenteral Nutrition ◽

Critically Ill Patients ◽

Protein Intake ◽

Lipid Emulsion ◽

Caloric Intake ◽

Nutrition Therapy ◽

Nutrition Support

Propofol, a commonly used sedative in the intensive care unit, is formulated in a 10% lipid emulsion that contributes 1.1 kcals per mL. As a result, propofol can significantly contribute to caloric intake and can potentially result in complications of overfeeding for patients who receive concurrent enteral or parenteral nutrition therapy. In order to avoid potential overfeeding, some clinicians have empirically decreased the infusion rate of the nutrition therapy, which also may have detrimental effects since protein intake may be inadequate. The purpose of this review is to examine the current literature regarding these issues and provide some practical suggestions on how to restrict caloric intake to avoid overfeeding and simultaneously enhance protein intake for patients who receive either parenteral or enteral nutrition for those patients receiving concurrent propofol therapy.

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Current status and future vision of nutrition support team at the neurological hospital

Rinsho Shinkeigaku ◽

10.5692/clinicalneurol.cn-001402 ◽

2020 ◽

Vol 60 (4) ◽

pp. 260-263

Author(s):

Kota Bokuda ◽

Kentaro Hayashi ◽

Toshio Shimizu

Keyword(s):

Nutrition Support ◽

Current Status ◽

Support Team ◽

Future Vision

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Diagnosis and management of catheter-related bloodstream infections in patients on home parenteral nutrition

Frontline Gastroenterology ◽

10.1136/flgastro-2018-101094 ◽

2019 ◽

Vol 11 (1) ◽

pp. 48-54 ◽

Cited By ~ 3

Author(s):

Ashley Bond ◽

Paul Chadwick ◽

Trevor R Smith ◽

Jeremy M D Nightingale ◽

Simon Lal

Keyword(s):

Parenteral Nutrition ◽

Bloodstream Infections ◽

Venous Catheter ◽

Nutrition Support ◽

Central Venous ◽

Short Term ◽

Qualitative And Quantitative ◽

Central Venous Catheter Removal ◽

Support Team

Catheter-related bloodstream infections (CRBSIs) commonly arise from a parenteral nutrition catheter hub. A target for a Nutrition Support Team is to have a CRBSI rate of less than 1 per 1000. The diagnosis of CRBSI is suspected clinically by a temperature shortly after setting up a feed, general malaise or raised blood inflammatory markers. It is confirmed by qualitative and quantitative blood cultures from the catheter and peripherally. Treatment of inpatients may involve central venous catheter removal and antibiotics for patients needing short-term parenteral nutrition, but catheter salvage is generally recommended for patients needing long-term parenteral nutrition, where appropriate.

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