- 118.7k views
Nutrition in ICU Calorie Count
Nutritional status in critically ill patients can be difficult to assess. Anthropometric measurements (eg. skin fold thickness and mid-arm circumference) are commonly used to assess populations but are not particularly useful in individuals. Biochemical tests also have their limitations: albumin levels fall rapidly as part of the acute phase response and hemoglobin is affected by hemorrhage, haemolysis, transfusion and bone marrow suppression. Transferrin, prealbumin and lymphocyte counts can be useful however they are dependent on the patient being well hydrated. Body Mass Index (mass [kg] / height [m] 2) is a frequently used tool (with a BMI < 18.5 classed as underweight) and has been shown to be an independent predictor of mortality in seriously ill patients. Nevertheless it does not reflect the acute changes in nutritional status important in critical illness and is used most for the assessment of long term health risks of obesity. Probably the most useful measure of nutritional status is a targeted history and examination. One such method which is widely accepted is known as the Subjective Global Assessment which includes Weight change – both chronic (over 6 months) and acute (over 2 weeks ), Changes in food intake, Gastrointestinal symptoms – nausea, vomiting, diarrhea and anorexia, Functional impairment and is combined with a physical examination
About the Speaker
Dr. Adel Mohamed Yasin Al Sisi
MBBS, MD(Critical Care Medicine) , Ph. D (Critical Care Medicine)
Upcoming Case Discussions
Alpha Lipoic Acid in Oxidative Stress
Alpha-lipoic acid (ALA) is a potent antioxidant that helps combat oxidative stress by neutralizing free radicals. It regenerates other antioxidants like vitamin C and E, enhancing overall antioxidant defense. ALA plays a crucial role in reducing cellular damage caused by conditions like diabetes, neuropathy, and aging. Its ability to function in both water- and fat-soluble environments makes it versatile in protecting various tissues. Regular supplementation of ALA may improve mitochondrial function and reduce inflammation associated with oxidative stress.
Alternative Route to Chronic Pain Management
Same, Same but Different" patterns in pain refer to situations where patients report similar symptoms or sensations but have distinct underlying causes or mechanisms. This concept emphasizes the importance of thorough clinical evaluation, as seemingly identical pain experiences may require different diagnostic approaches and treatments.
Advances in Diagnosing and Treating Neural Tube Defects
Significant advances in diagnosing and treating neural tube defects (NTDs) have improved outcomes for affected individuals. Early diagnosis is enhanced by advanced prenatal imaging, such as high-resolution ultrasound and fetal MRI, and biomarkers like elevated maternal serum alpha-fetoprotein (MSAFP). Innovations in fetal surgery, such as in-utero repair of spina bifida, have demonstrated improved neurological outcomes by minimizing damage before birth. Postnatal care has also improved with better surgical techniques, physical therapy, and assistive technologies. Preventive strategies, including mandatory folic acid supplementation, have significantly reduced NTD incidence globally, highlighting the importance of early intervention and multidisciplinary care in managing NTDs.
Case Based Discussion on Bronchiolitis
Bronchiolitis is a common respiratory infection in infants and young children, primarily caused by the respiratory syncytial virus (RSV). It presents with nasal congestion, cough, wheezing, and difficulty breathing, often following an upper respiratory infection. Management is largely supportive, focusing on hydration, oxygen therapy, and suctioning nasal secretions. Routine use of bronchodilators, steroids, or antibiotics is not recommended. Severe cases may require hospitalization for respiratory support, such as high-flow nasal cannula or mechanical ventilation. Preventive measures include proper hand hygiene and, in high-risk infants, palivizumab prophylaxis. Prompt recognition and appropriate care are key to reducing complications and improving outcomes.
Case Based Approach to Arthritis
A case-based approach to arthritis involves analyzing individual patient cases to tailor diagnostic and therapeutic strategies based on specific symptoms, disease progression, and underlying causes. This method enhances clinical decision-making by providing personalized treatment plans and improving patient outcomes in conditions like osteoarthritis, rheumatoid arthritis, and psoriatic arthritis.
Author Post
Impact
+
Talks
+
webinar
+
no.of registrations
One liner about speaker
Why is speaker relevant?
Dr. Adel Mohamed Yasin Al Sisi's Talks on Assimilate
- 27th-September-2022,TIME : 4PM to 5:30PM
- 0
Nutritional status in critically ill patients can be difficult to assess. Anthropometric measurements (eg. skin fold thickness and mid-arm circumference) are commonly used to assess populations but are not particularly useful in individuals. Biochemical tests also have their limitations: albumin levels fall rapidly as part of the acute phase response and hemoglobin is affected by hemorrhage, haemolysis, transfusion and bone marrow suppression. Transferrin, prealbumin and lymphocyte counts can be useful however they are dependent on the patient being well hydrated. Body Mass Index (mass [kg] / height [m] 2) is a frequently used tool (with a BMI < 18.5 classed as underweight) and has been shown to be an independent predictor of mortality in seriously ill patients. Nevertheless it does not reflect the acute changes in nutritional status important in critical illness and is used most for the assessment of long term health risks of obesity. Probably the most useful measure of nutritional status is a targeted history and examination. One such method which is widely accepted is known as the Subjective Global Assessment which includes Weight change – both chronic (over 6 months) and acute (over 2 weeks ), Changes in food intake, Gastrointestinal symptoms – nausea, vomiting, diarrhea and anorexia, Functional impairment and is combined with a physical examination