Thread by @LifeWithoutDiet

@YaseenarabiYa Now discussing my personal favorite, PROTEIN! #SCCM2023 #ICUNutrition

Arabi: negative nitrogen balance impacts various outcomes so it makes sense that we should give exogenous protein to compensate. #SCCM2023 #ICUNutrition

But is more protein better? Not quite! #SCCM2023 #ICUNutrition

Arabi: currently we aren’t giving much protein in the ICU, around 60-70% of prescription. #ICUNutrition #SCCM2023

Arabi: high vs low protein #SCCM2023 #ICUNutrition

Arabi: increased protein provision possibly ends up being wasted in urine. #SCCM2023 #ICUNutrition

Arabi: protein guidelines based on very low evidence, consensus. #SCCM2023 #ICUNutrition

EAT-ICU trial: calorie and protein provision guided by IC and UUN showed no diff in mortality. #ICUNutrition #SCCM2023

Arabi: risk stratification could help us determine who would benefit from aggressive protein provision. #ICUNutrition #SCCM2023

Keep and eye out for these ongoing trials. #SCCM2023 #ICUNutrition

Arabi: protein PLUS exercise showing promising benefits. (Missed the pic of slide) #SCCM2023 #ICUNutrition

@YaseenarabiYa conclusions:

#ICUNutrition #SCCM2023