Indirect calorimetry in critical illness a new standard of care?

Posted on 20 May 2021, Scientific

Indirect calorimetry in critical illness a new standard of care?

Critical illness demands objective, targeted nutritional therapy to prevent adverse effects of underfeeding/ over feeding. Thus, all recent societal guidelines recommend indirect calorimetry use to determine energy needs.

Point-Counterpoint: Indirect Calorimetry Is Essential for Optimal Nutrition Therapy in the Intensive Care Unit

Posted on 29 April 2021, Scientific

Point-Counterpoint: Indirect Calorimetry Is Essential for Optimal Nutrition Therapy in the Intensive Care Unit

A major driver leading to the lack of emphasis on timely ICU nutrition delivery is lack of objective data to guide nutrition care. If we are to ultimately overcome current fundamental challenges to effective ICU nutrition delivery, we must all adopt routine objective, longitudinal measurement of energy targets via indirect calorimetry (IC).

Nutritional and metabolic management of the COVID 19 intensive care patient

Posted on 15 March 2021, Scientific

Nutritional and metabolic management of the COVID 19 intensive care patient

Nutritional and metabolic disturbances are observed in patients critically ill with COVID-19. At each step of the progression of the disease, ICU patients with COVID-19 should be carefully evaluated in terms of malnutrition risk and medical nutritional support. 

ESPEN guideline on clinical nutrition in hospitalized patients with acute or chronic kidney disease

Posted on 12 February 2021, Scientific

ESPEN guideline on clinical nutrition in hospitalized patients with acute or chronic kidney disease

Acute kidney disease (AKD) and chronic kidney disease (CKD) are highly prevalent among hospitalized patients and they have important metabolic and nutritional consequences. Moreover, in case of kidney replacement therapy the possible impact on nutritional profiles, substrate balance, and nutritional treatment processes cannot be neglected.  

Energy expenditure and indirect calorimetry in critical illness and convalescence: current evidence and practical considerations

Posted on 24 January 2021, Scientific

Energy expenditure and indirect calorimetry in critical illness and convalescence: current evidence and practical considerations

Energy expenditure appears highly variable among critically ill patients and in individual patients during various phases of illness. As a consequence, critically ill patients are at considerable risk of under- or overfeeding during ICU and post-ICU hospital stay, when rough and static estimates are used. The most recent international guidelines recommend regular indirect calorimetry to measure energy expenditure as a proxy for caloric requirement in ICU patients.

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