The Need to Reassess Dietary Fiber Requirements in Healthy and Critically Ill Patients

Nutritional Assessment in Critically Ill Patients

Background: Malnutrition is an important factor in the survival of critically ill patients. The purpose of the present study was to assess the nutritional status of patients in the intensive care unit (ICU) on the days of admission and discharge via a detailed nutritional assessment. Methods: Totally, 125 patients were followed up from admission to discharge at 8ICUs in Shiraz, Iran. The patien...

Prediction equations to determine caloric requirements in critically ill patients.

The ability to predict resting energy expenditure in a given individual during critical illness is very difficult. The unreliability of prediction equations to determine caloric requirements in critically ill patients is well established.1-17 The stress response to a specific insult is not identical across individuals, which further impairs the accuracy of prediction equations. Even the variabl...

Nutritional requirements of surgical and critically-ill patients: do we really know what they need?

Malnutrition remains a problem in surgical and critically-ill patients. In surgical patients the incidence of malnutrition ranges from 9 to 44%. Despite this variability there is a consensus that malnutrition worsens during hospital stay. In the intensive care unit (ICU), 43% of the patients are malnourished. Although poor nutrition during hospitalisation may be attributable to many factors, no...

probiotics in critically ill patients

Nitrogen Balance and Protein Requirements for Critically Ill Older Patients

Critically ill older patients with sarcopenia experience greater morbidity and mortality than younger patients. It is anticipated that unabated protein catabolism would be detrimental for the critically ill older patient. Healthy older subjects experience a diminished response to protein supplementation when compared to their younger counterparts, but this anabolic resistance can be overcome by...