scholarly journals The Effect of Using Olive Oil and Fish Oil Prophylactic Dressings on Heel Pressure Injury Development in Critically Ill Patients

2020 ◽  
Vol Volume 13 ◽  
pp. 59-65
Author(s):  
Zohreh Karimi ◽  
Ali Mousavizadeh ◽  
Hossein Rafiei ◽  
Naeem Abdi ◽  
Mohammad Behnammoghadam ◽  
...  
Keyword(s):  
Fish Oil ◽  
Olive Oil ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Pressure Injury

SUN-LB642: Beneficial Effect of Olive Oil Based Parenteral Nutrition Compared to Fish Oil in Critically Ill Patients

2019 ◽  
Vol 38 ◽  
pp. S297-S298
Author(s):  
E. Pardo ◽  
T. Lescot ◽  
P. Massanet ◽  
N. Lapidus ◽  
V. Fraipont ◽  
...  
Keyword(s):  
Parenteral Nutrition ◽  
Beneficial Effect ◽  
Fish Oil ◽  
Olive Oil ◽  
Critically Ill ◽  
Critically Ill Patients

scholarly journals Rationale for using new lipid emulsions in parenteral nutrition and a review of the trials performed in adults

2009 ◽  
Vol 68 (3) ◽  
pp. 252-260 ◽  
Author(s):  
Philip C. Calder
Keyword(s):  
Parenteral Nutrition ◽  
Fish Oil ◽  
Immune Function ◽  
Olive Oil ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Adult Patients ◽  
Partial Replacement ◽  
Lipid Emulsions ◽  
Post Surgery

Lipids traditionally used in parenteral nutrition are based on n-6 fatty acid-rich vegetable oils such as soyabean oil. This practice may not be optimal because it may present an excessive supply of linoleic acid. Alternatives to the use of soyabean oil include its partial replacement by so-called medium-chain TAG (MCT), olive oil or fish oil, either alone or in combination. Lipid emulsions containing MCT are well established, but those containing olive oil and fish oil, although commercially available, are still undergoing trials in different patient groups. Emulsions containing olive oil or fish oil are well tolerated and without adverse effects in a wide range of adult patients. An olive oil–soyabean oil emulsion has been used in quite small studies in critically-ill patients and in patients with trauma or burns with little real evidence of advantage over soyabean oil or MCT–soyabean oil. Fish oil-containing lipid emulsions have been used in adult patients post surgery (mainly gastrointestinal). This approach has been associated with alterations in patterns of inflammatory mediators and in immune function and, in some studies, a reduction in the length of stay in the intensive care unit and in hospital. One study indicates that peri-operative administration of fish oil may be superior to post-operative administration. Fish oil has been used in critically-ill adults. Here, the influence on inflammatory processes, immune function and clinical end points is not clear, since there are too few studies and those that are available report contradictory findings. One important factor is the dose of fish oil required to influence clinical outcomes. Further studies that are properly designed and adequately powered are required in order to strengthen the evidence base relating to the use of lipid emulsions that include olive oil and fish oil in critically-ill patients and in patients post surgery.

scholarly journals Effects and Interventions of Pressure Injury Prevention Bundles of Care in Critically Ill Patients: A Systematic Review

2021 ◽  
Vol 11 (2) ◽  
pp. 154-176
Author(s):  
Wenny Trisnaningtyas ◽  
Retnaningsih Retnaningsih ◽  
Nana Rochana
Keyword(s):  
Injury Prevention ◽  
Nutrition Education ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Developed Countries ◽  
Support Surface ◽  
Intervention Measures ◽  
Pressure Injury ◽  
Single Intervention ◽  
Pressure Injury Prevention

Background: Many studies on pressure injury prevention bundles have been conducted outside the Intensive Care Unit (ICU). The bundles, which include multi interventions, have proven effective in reducing pressure ulcer incidents compared to a single intervention. However, the existing review studies on pressure injury prevention in ICUs still only investigate a single intervention rather than multi interventions. Only few reviews, to our knowledge, involves prevention bundle strategies in the ICU.Purpose: This study aims to review the effects of the pressure injury prevention bundles of care on the incidents of pressure injury in critically ill patients and the intervention measures of the care bundles.Methods: This review searched published articles from several databases, namely EBSCO, ScienceDirect, PubMed, ProQuest, Google Scholar, and Scopus from 2009 up to 2020. PRISMA flowchart was used to select relevant articles using several inclusion and exclusion criteria, resulting in 17 article from 50 eligible full-text articles for assessment. The included studies were assessed for their quality using Joanna Briggs Institute (JBI) critical appraisal tools. The synthesis was then conducted narratively.Results: As many as 17 studies, which mostly had good quality yet evidence level of II, were included in the analysis. The findings showed that the pressure injury prevention bundles of care decreased pressure injury incidents as many as 4.3%-36.2% in developed countries and 4.16%-21% in developing countries. Moreover, the bundles of care which significantly reduced the incidents of pressure injury consisted of 7 intervention measures, which were pressure injury risk assessment using Cubbin Jackson scale, skin assessment and care, repositioning, nutrition, education, support surface, and medical device care.Conclusion:The review concluded that the pressure injury prevention bundles of care in critically ill patients significantly reduced the incidents of pressure injury. The study recommends more studies with stronger evidence levels to carry out and utilize 7 intervention measures as a preventive standard of care in critically ill patients. 

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