@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

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Ashley DePriest, RDN, CNSC, FCCM

Ashley DePriest, RDN, CNSC, FCCM Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @LifeWithoutDiet

Jan 23, 2023
Now Dr. Jayshil Patel on feeding the unstable ICU patient. #SCCM2023 #ICUNutrition
Questions Patel will answer today. Situations where we might pause before giving nutrition. #SCCM2023 #ICUNutrition
Patel: risks of feeding include vomiting, gut ischemia. #SCCM2023 #ICUNutrition
Read 14 tweets
Jan 23, 2023
@NileshMehtaMD up next to discuss what’s new in #ICUNutrition guidelines and how he has interpreted them. #SCCM2023
Mehta: Reminder of the hierarchy of evidence. #SCCM2023 #ICUNutrition
Mehta: guidelines must have clinical context. #SCCM2023 #ICUNutrition
Read 16 tweets
Jan 23, 2023
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
Read 10 tweets
Jan 23, 2023
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 23, 2023
@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
Read 9 tweets
Jan 22, 2023
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

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us!

:(