scholarly journals Nutritional Status Evaluation of a Critically Ill Patient with Chagasic Cardiopathy Treated in an Intensive Care Unit in Santo Antonio de Jesus, Bahia, Brazil: A Case Report

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Santos Adriane de Jesus ◽  
Santiago Vanessa Gomes ◽  
Barreto Jamille Souza Costa ◽  
Menezes Simone Santos ◽  
Alves Danielle Brito ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Case Report ◽  
Nutritional Status ◽  
Critically Ill ◽  
Critically Ill Patient

scholarly journals Nutritional Status by Somatic Sub, Fat and Protein-Visceral at Entry in an Intensive Care Unit

2014 ◽  
Vol 4 (3) ◽  
pp. 235-245
Author(s):  
María Esther Rodríguez Delgado ◽  
Luis Albendín García ◽  
Ginesa López Torres
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nutritional Status ◽  
Critically Ill ◽  
Negative Impact ◽  
Disease Process ◽  
Great Difficulty ◽  
Critically Ill Patient ◽  
Special Importance ◽  
Hospital Malnutrition

The high prevalence of malnutrition in hospitals remains a problem of special importance in Spain at present due to the negative impact on the clinical course of hospitalized patients. Numerous studies show hospital malnutrition rates close to 33-50% of the hospitalized population. This impact is much more important and of greater importance when it comes to critically ill patients in the intensive care unit. Nutritional and metabolic deficit States have a direct impact on the patient, hindering the clinical evolution of the patient and increasing morbidity and mortality rates and hospital complications and healthcare costs arising. Develop an appropriate nutritional approach through nutritional media is a fundamental goal and a basic pillar for optimal management of the critically ill patient, being able I see hampered in many cases, especially in patients who present with hypercatabolism and hypermetabolism with significant energy consumption secondary to the disease process leading to admission. To this must be added the great difficulty of a comprehensive and complete assessment of nutritional status where many of these parameters, nutritional surveys and functional tests can be complicated to perform, unreliable, or may provide incorrect, incomplete or impossible data its realization.

scholarly journals Nutritional Status by Somatic Sub, Fat and Protein-Visceral at Entry in an Intensive Care Unit

2014 ◽  
Vol 4 (3) ◽  
pp. 235-245
Author(s):  
María Esther Rodríguez Delgado ◽  
Luis Albendín García ◽  
Ginesa López Torres
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nutritional Status ◽  
Critically Ill ◽  
Negative Impact ◽  
Disease Process ◽  
Great Difficulty ◽  
Critically Ill Patient ◽  
Special Importance ◽  
Hospital Malnutrition

The high prevalence of malnutrition in hospitals remains a problem of special importance in Spain at present due to the negative impact on the clinical course of hospitalized patients. Numerous studies show hospital malnutrition rates close to 33-50% of the hospitalized population. This impact is much more important and of greater importance when it comes to critically ill patients in the intensive care unit. Nutritional and metabolic deficit States have a direct impact on the patient, hindering the clinical evolution of the patient and increasing morbidity and mortality rates and hospital complications and healthcare costs arising. Develop an appropriate nutritional approach through nutritional media is a fundamental goal and a basic pillar for optimal management of the critically ill patient, being able I see hampered in many cases, especially in patients who present with hypercatabolism and hypermetabolism with significant energy consumption secondary to the disease process leading to admission. To this must be added the great difficulty of a comprehensive and complete assessment of nutritional status where many of these parameters, nutritional surveys and functional tests can be complicated to perform, unreliable, or may provide incorrect, incomplete or impossible data its realization.

scholarly journals Use of body composition and phase angle analysis for the assessment of nutritional status and clinical outcomes in critically ill children

2021 ◽  
Author(s):  
Zi-Hong Xiong ◽  
Xue-Mei Zheng ◽  
Guo-Ying Zhang ◽  
Meng-Jun Wu ◽  
Yi Qu
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nutritional Status ◽  
Clinical Outcomes ◽  
Critically Ill ◽  
Pediatric Intensive Care Unit ◽  
Phase Angle ◽  
Pediatric Intensive Care ◽  
Critically Ill Children ◽  
Duration Time

Abstract BackgroundMalnutrition is highly prevalent in critically ill children in the pediatric intensive care unit .We aimed to investigate the efficiency of bioelectrical impedance analysis (BIA) measurements and phase angle (PhA) analysis for the assessment of nutritional risk and clinical outcomes in critically ill children.MethodsThis single-center observational study included patients admitted to the Pediatric Intensive Care Unit (PICU) of Chengdu Women’s and Children’s Central Hospital. All patients underwent anthropometric measurement in the first 24 h of admission and underwent BIA measurements within 3 days after the admission. The patients were classified into different groups based on body mass index (BMI) for age. Electronic hospital medical records were reviewed to collect clinical data for each patient. All the obtained data were analyzed by the statistics method.ResultsThere were 204 patients enrolled in our study, of which 32.4% were diagnosed with malnutrition. We found that BMI, arm muscle circumference, fat mass, and %body fat were lower in the group with poorer nutritional status (P < 0.05). Evident differences in the score of the Pediatric Risk of Mortality and the duration of mechanical ventilation (MV) among the three groups with different nutritional statuses were observed (P < 0.05). Patients in the severely malnourished group had the longest duration of MV. In the MV groups, there were significant differences (P < 0.05) in albumin level, PhA, and extracellular water/total body water (ECW/TBW ratio). The ECW/TBW ratio and the time for PICU stay had a weak degree of correlation (Pearson correlation coefficient = 0.375). PhA showed a weak degree of correlation with the duration time of medical ventilation (coefficient of correlation = 0.398).ConclusionBIA can be considered an alternative way to assess nutritional status in critically ill children. ECW/TBW ratio and PhA were correlated with PICU stay and duration time of medical ventilation, respectively.

Pleural Disease in the Intensive Care Unit

2000 ◽  
Vol 15 (2) ◽  
pp. 63-89
Author(s):  
Michael A. Jantz ◽  
Steven A. Sahn
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pleural Effusion ◽  
Critically Ill ◽  
Bronchopleural Fistula ◽  
Tension Pneumothorax ◽  
Respiratory Physiology ◽  
Critically Ill Patient ◽  
Pleural Disease ◽  
The Impact

Pleural disease itself is an unusual cause for admission to the intensive care unit (ICU). Pleural complications of diseases and procedures in the ICU are common, however, and the impact on respiratory physiology is additive to that of the underlying cardiopulmonary disease. Pleural effusion and pneumothorax may be overlooked in the critically ill patient due to alterations in radiologic appearance in the supine patient. The development of a pneumothorax in a patient in the ICU represents a potentially life-threatening situation. This article reviews the etiologies, pathophysiology, and management of pleural effusion, pneumothorax, tension pneumothorax, and bronchopleural fistula in the critically ill patient. In addition, we review the potential complications of thoracentesis and chest tube thoracostomy, including re-expansion pulmonary edema.

Bedside Thoracic Ultrasonography for the Critically Ill Patient: From the Emergency Department to the Intensive Care Unit

2020 ◽  
Vol 39 (3) ◽  
pp. 215-228
Author(s):  
María C. Arango-Granados ◽  
Luis A. Bustamante Cristancho ◽  
Virginia Zarama Córdoba
Keyword(s):  
Intensive Care Unit ◽  
Emergency Department ◽  
Intensive Care ◽  
Critically Ill ◽  
Critically Ill Patient

scholarly journals The psychological aspects of intensive care units

Curationis ◽  
1982 ◽  
Vol 5 (3) ◽  
Author(s):  
G. Dannenfeldt
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Critically Ill ◽  
Nursing Care ◽  
Psychological Problems ◽  
Psychological Aspects ◽  
Critically Ill Patient ◽  
Physical Care

The technical and physical care of the critically ill patient has been perfected, but the psychological aspects of intensive nursing care have to a greater or lesser extent been neglected. The objective of this article is to highlight the causes of psychological problems in an intensive care unit, how to recognise these problems and above all how to prevent or correct them.

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