Thread by @LifeWithoutDiet

Sharon Irving, CRNP, MSN, PhD, PNP starting off the afternoon nutrition lecture with why we call it NUTRITION THERAPY. #SCCM2023 #ICUNutrition

Lots of metabolic changes in critical illness that prevent adequate prevention on nutrition. #SCCM2023 #ICUNutrition

Irving: depriving the gut of EN causes problems. Failing to maintain gut mucosa and microbiome causes shifts in homeostasis. #SCCM2023 #ICUNutrition

Irving: all of this matters in the context of splanchnic circulation. Not feeding causes a disruption and creates permeability. #SCCM2023 #ICUNutrition

Irving: successful EN is dependent upon splanchnic blood flow. #SCCM2023 #ICUNutrition

Irving: how do the components of feeding EN impact the #microbiome? #ICUNutrition #SCCM2023

Irving: we can’t talk about #ICUNutrition without discussing #malnutrition. Nutrition status at admission has an impact on outcomes such as mortality, LOS, infectious complications, etc. #SCCM2023

Irving: in pediatric critical care we see #ICUNutrition as supportive but it may be more than that. #SCCM2023

Irving: currently no consensus for optical feeding strategy in post surgical cardiac pediatric patients but anecdotal information shows promise. #SCCM2023 #ICUNutrition

Sharon Irving conclusions on Nutrition Therapy at #SCCM2023 #ICUNutrition