An analysis of nutrition support in the intensive care unit during the covid19 pandemic

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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Nutrition Assessment and Nutrition Support in Intensive Care Unit Patients

Critical Care Study Guide ◽

10.1007/978-1-4757-3927-5_21 ◽

2002 ◽

pp. 339-354

Author(s):

Joseph I. Boullata ◽

Francis C. Cordova

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Nutrition Assessment ◽

Nutrition Support

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CP-180 Quality of artificial nutrition support in an intensive care unit

European Journal of Hospital Pharmacy ◽

10.1136/ejhpharm-2016-000875.180 ◽

2016 ◽

Vol 23 (Suppl 1) ◽

pp. A79.2-A80

Author(s):

C Caballero Requejo ◽

C Iniesta Navalon ◽

N Manresa Ramon ◽

A Trujillano Ruiz ◽

M Onteniente Candela ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Nutrition Support ◽

Artificial Nutrition

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The Benefits of Parenteral Nutrition (PN) Versus Enteral Nutrition (EN) Among Adult Critically Ill Patients: What is the Evidence? A Literature Review

Journal of Intensive Care Medicine ◽

10.1177/0885066619843782 ◽

2019 ◽

Vol 35 (7) ◽

pp. 615-626 ◽

Cited By ~ 2

Author(s):

Angel Joel Cadena ◽

Sara Habib ◽

Fred Rincon ◽

Stephanie Dobak

Keyword(s):

Health Care ◽

Intensive Care Unit ◽

Intensive Care ◽

Enteral Nutrition ◽

Parenteral Nutrition ◽

Clinical Outcomes ◽

Critically Ill ◽

Nutrition Support ◽

Mechanical Ventilation Duration ◽

The Impact

Malnutrition is frequently seen among patients in the intensive care unit. Evidence shows that optimal nutritional support can lead to better clinical outcomes. Recent clinical trials debate over the efficacy of enteral nutrition (EN) over parenteral nutrition (PN). Multiple trials have studied the impact of EN versus PN in terms of health-care cost and clinical outcomes (including functional status, cost, infectious complications, mortality risk, length of hospital and intensive care unit stay, and mechanical ventilation duration). The aim of this review is to address the question: In critically ill adult patients requiring nutrition support, does EN compared to PN favorably impact clinical outcomes and health-care costs?

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