This HI-Impact tutorial looks at the common questions relating to commencement and route of nutrition in critical care. Is TPN good, bad or indifferent. Is enteral feed better than parenteral? When should we start feeding? Is it useful to add parenteral feed to enteral if the patients’ caloric goals have not been met? When should patients achieve their isocaloric goals. I guarantee you’ll learn something.
This is a trio or tutorials on Acute Myocardial Ischemia, Acute Coronary Syndromes and Cardiogenic Shock.
This is the second tutorial in the nutrition series. Previously I looked at metabolism in critical illness. In this tutorial I start to answer many of the questions that arise on rounds principally: how many calories does the patient need? How much protein? What are the routes of food administration? Is there a benefit to post pyloric feeding tubes? Should I feed the stomach continuously or by bolus? Should I check gastric residual volumes? I provide you with the answers to these questions using the best available evidence.
ORtoICU 