1/21/2023 0 Comments Measure of a man torrentAs this is bedside Critical Care I’ll use a practical Case to help us apply the findings from these studies 80 year Old man with severe necrotising Pancreatitis D4 Previously well BMI 22 – Fit wiry and active.In this update – I will look at 4 important RCT’s published over the last couple of years EPaNIC Early PN TICACOS EDEN These trial relate to the basic question of Timing and Dose – How should we regulate the flow – Do we supply ‘A torrent or a Trickle?’.Update on Critical Care Nutrition which is a topic I’m passionate about I think everyone in the room would agree that as living organism we need nourishment – This is an undeniable physiological FACT But the application of this fact in clinical practice in critical care is complex When studied – we have often found conflicting results and the lack of a clear answer has led us to perhaps become a little dismissive of Nutrition – What we does make a difference? The problem is our patients are complex and nutrition is a very potent therapy that must be carefully applied and the dose titrated daily.
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