@SheilaMyatra beginning the morning plenary lecture showing a major disparity in care related to staffing btwn US and India, her hospital having 42,000 pts/yr with 200 faculty. #SCCM2023
Reasons to give vs not to give fluids. #SCCM2023
Questions @SheilaMyatra asks when considering fluid administration in the ICU. #SCCM2023
Fluid challenges can be detrimental in some pts. Careful consideration should be given. May also consider “mini” fluid challenge. @SheilaMyatra #SCCM2023
Limitations to measures of fluid responsiveness. #SCCM2023 @SheilaMyatra
Arterial line used to complete the Tidal Volume Challenge. #SCCM2023
Remember, even if pt is fluid responsive it might not be safe to give fluids. Must asses risks of giving fluid. @SheilaMyatra #SCCM2023

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More from @LifeWithoutDiet

Jan 23
@YaseenarabiYa Now discussing my personal favorite, PROTEIN! #SCCM2023 #ICUNutrition Image
Arabi: negative nitrogen balance impacts various outcomes so it makes sense that we should give exogenous protein to compensate. #SCCM2023 #ICUNutrition Image
But is more protein better? Not quite! #SCCM2023 #ICUNutrition Image
Read 5 tweets
Jan 23
Now Dr. Jayshil Patel on feeding the unstable ICU patient. #SCCM2023 #ICUNutrition Image
Questions Patel will answer today. Situations where we might pause before giving nutrition. #SCCM2023 #ICUNutrition Image
Patel: risks of feeding include vomiting, gut ischemia. #SCCM2023 #ICUNutrition Image
Read 14 tweets
Jan 23
@NileshMehtaMD up next to discuss what’s new in #ICUNutrition guidelines and how he has interpreted them. #SCCM2023 Image
Mehta: Reminder of the hierarchy of evidence. #SCCM2023 #ICUNutrition Image
Mehta: guidelines must have clinical context. #SCCM2023 #ICUNutrition
Read 16 tweets
Jan 23
Sharon Irving, CRNP, MSN, PhD, PNP starting off the afternoon nutrition lecture with why we call it NUTRITION THERAPY. #SCCM2023 #ICUNutrition Image
Lots of metabolic changes in critical illness that prevent adequate prevention on nutrition. #SCCM2023 #ICUNutrition Image
Irving: depriving the gut of EN causes problems. Failing to maintain gut mucosa and microbiome causes shifts in homeostasis. #SCCM2023 #ICUNutrition Image
Read 10 tweets
Jan 23
Yes! @gretchemaben now discussing the POSITIVES of social media. We must be intentional with how we use it. #SCCM2023 Image
Start with cons of #SoMe first:

#SCCM2023 #SCCMSome Image
And now the Pros:

#SCCM2023 #SCCMSoMe Image
Read 6 tweets
Jan 22
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
Read 14 tweets

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