Thread by @LifeWithoutDiet

Janine Berta, MS, RD-AP, CNSC discussing feeding the obese trauma patient. #SCCM2023 #ICUNutrition

First a review of the metabolic response to trauma. #SCCM2023 #ICUNutrition

What are the goals of Medical Nutrition Therapy? Preventing #malnutrition. Since most trauma pts are young & healthy, we have a big opportunity to prevent malnutrition in this population. #SCCM2023 #ICUNutrition

Janine sharing her clinical lens for interpreting #ICUNutrition data. So #SCCM2023

Janine recommends this publication for anyone interested in #ICUNutrition pubmed.ncbi.nlm.nih.gov/32583880/
#SCCM2023

@ASPEN_nutrition Guidelines for feeding the adult critically Ill patients are best resource, but still left with many questions to answer. #SCCM2023 #ICUNutrition

Nutrient targets studied in the 90s with trauma patients & indirect calorimetry found hyper metabolic state for most, but these were not obese patients. #SCCM2023 #ICUNutrition

More recent data still mot representative of the obese population with median BMI of 28 #SCCM2023 #ICUNutrition

Janine Berta sharing her valuable experience working with indirect calorimetry in trauma patients. #SCCM2023 #ICUNutrition

Janine feels hypocaloric feeding is wrong for obese trauma patients, based on her experience. #SCCM2023 #ICUNutrition

Janine: Immune modulating formulas (containing arginine & fish oil) in critically ill trauma patients may help with reducing infection rates. #SCCM2023 #ICUNutrition

Volume Based Feeding is going strong with Janine’s trauma patients! 👏🏼 #SCCM2023 #ICUNutrition

Don’t forget Parenteral nutrition might be indicated even if using Volume Based Feeding for trauma pts, esp those pt requiring multiple procedures/tests that withhold feeding. And IT IS SAFE! #SCCM2023 #ICUNutrition

Janine Berta’s tips for feeding critically Ill trauma patients, but also applies to other populations. #SCCM2023 #ICUNutrition