TY - CHAP
T1 - Expanding the knowledge base in diet, nutrition and critical care
T2 - Electronic and published resources
AU - Alzaid, Fawaz
AU - Rajendram, Rajkumar
AU - Patel, Vinood B.
AU - Preedy, Victor
PY - 2015/1/1
Y1 - 2015/1/1
N2 - The critical care ward manages the needs of the highest dependency patients, the majority of whom are malnourished. Malnutrition could have been preexistent and compounded by critical illness or may have arisen due to acute disease effects. The appropriate identification and management of malnutrition in the critical care unit will have a major influence on the clinical outcome. The importance of appropriate nutritional support has become increasingly recognized in the last few decades. In fact, in some regions, the inclusion of appropriate nutritional support is essential for the accreditation of healthcare establishments. The first line of nutritional support is the identification of malnutrition, followed by in-depth assessment if required. These processes will indicate the risk of malnutrition, the need for nutritional support, the constituents of feed, and the mode of delivery, whether via oral, enteral, or parenteral feeding. At the very least, nutritional support in the critical care unit aims to maintain hydration and protein-energy balance and prevent or minimize the catabolic effects of critical illness. Some decisions are based on pragmatism, whereas others are based on evidence, experience, available resources, or locally agreed policies from regional authoritative bodies. This chapter discusses the essential and central role of nutritional support in the critical care unit. A list of important resources that advise nutritional support in critical care is also highlighted in this chapter.
AB - The critical care ward manages the needs of the highest dependency patients, the majority of whom are malnourished. Malnutrition could have been preexistent and compounded by critical illness or may have arisen due to acute disease effects. The appropriate identification and management of malnutrition in the critical care unit will have a major influence on the clinical outcome. The importance of appropriate nutritional support has become increasingly recognized in the last few decades. In fact, in some regions, the inclusion of appropriate nutritional support is essential for the accreditation of healthcare establishments. The first line of nutritional support is the identification of malnutrition, followed by in-depth assessment if required. These processes will indicate the risk of malnutrition, the need for nutritional support, the constituents of feed, and the mode of delivery, whether via oral, enteral, or parenteral feeding. At the very least, nutritional support in the critical care unit aims to maintain hydration and protein-energy balance and prevent or minimize the catabolic effects of critical illness. Some decisions are based on pragmatism, whereas others are based on evidence, experience, available resources, or locally agreed policies from regional authoritative bodies. This chapter discusses the essential and central role of nutritional support in the critical care unit. A list of important resources that advise nutritional support in critical care is also highlighted in this chapter.
UR - http://www.scopus.com/inward/record.url?scp=84945152314&partnerID=8YFLogxK
U2 - 10.1007/978-1-4614-7836-2_89
DO - 10.1007/978-1-4614-7836-2_89
M3 - Chapter
AN - SCOPUS:84945152314
SN - 9781461478362
SN - 9781461478379
SP - 1193
EP - 1199
BT - Diet and Nutrition in Critical Care
PB - Springer New York LLC
ER -