Case presentation and panel discussion: Critical illness

Manpreet S Mundi; Jayshil J Patel; Jeffrey I Mechanick; Yaseen M Arabi; John Alverdy; Zudin Puthucheary; Stephen A McClave

doi:10.1002/jpen.2250

Case presentation and panel discussion: Critical illness

JPEN J Parenter Enteral Nutr. 2021 Nov;45(S2):79-84. doi: 10.1002/jpen.2250.

Authors

Manpreet S Mundi¹, Jayshil J Patel², Jeffrey I Mechanick³, Yaseen M Arabi⁴, John Alverdy⁵, Zudin Puthucheary⁶, Stephen A McClave⁷

Affiliations

¹ Division of Endocrinology, Diabetes, Metabolism and Nutrition, Mayo Clinic, Rochester, Minnesota, USA.
² Division of Pulmonary Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
³ Kravis Center for Clinical Cardiovascular Health at Mount Sinai Heart, Icahn School of Medicine at Mount Sinai, New York, USA.
⁴ Department of Intensive Care, King Saud bin Abdulaziz University for Health Sciences and King Abdullah International Medical Research Center, Ministry of National Guard Health Affiars, Riyadh, Saudi Arabia.
⁵ Department of Surgery, University of Chicago, Chicago, Illinois, USA.
⁶ Critical Care and Perioperative Medicine Group, William Harvey Research Institute Queen Mary University of London, London, UK.
⁷ Division of Gastroenterology, Hepatology and Nutrition, University of Louisville School of Medicine, Louisville, Kentucky, USA.

PMID: 34383970
DOI: 10.1002/jpen.2250

Abstract

Despite a mounting evidentiary base, controversies surrounding critical care nutrition support persist. Anchored by a case of a 60-year-old male with esophageal cancer who develops acute hypoxemic respiratory failure and septic shock, five panelists from the American Society of Parenteral and Enteral Nutrition (ASPEN) 2021 Pre-Conference discuss key clinical dilemmas in critical care nutrition, including hierarchy of evidence, bedside evaluation of malnutrition, optimal protein dose, use of fiber, and therapies targeting gut function and gut microbiota .

Keywords: critical care; critical illness; microbiome; nutrition; nutrition support; protein.

Publication types

Case Reports

MeSH terms

Critical Care
Critical Illness* / therapy
Enteral Nutrition
Humans
Male
Malnutrition* / complications
Malnutrition* / diagnosis
Malnutrition* / therapy
Middle Aged
Nutritional Support
Parenteral Nutrition