ICU Nutrition: Feeding the Critically Ill

This lecture reviews the latest evidence-based practices regarding how to provide nutrition, whether enteral or parenteral to critically ill patients. When referring to the critically ill, I mean mostly intubated patients who require nutrition via an NG/OG tube. I must say, it's far more entertaining to speak to an audience than it is to speak to a camera.
Link to Citations: eddyjoemd.com/nutrition-and-g...
My website: www.eddyjoemd.com
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My Amazon store for resources you may find helpful: www.amazon.com/shop/eddyjoemd
Books I recommend for ICU Beginners.
Marino's The ICU Book: amzn.to/2M2oFVm
The Washington Manual of Critical Care: amzn.to/2MfmDR4
The Ventilator Book: Second Edition: amzn.to/2BYbyhK
The Advanced Ventilator Book: amzn.to/2nhvyTY
Essentials of Mechanical Ventilation: amzn.to/2vqQAnF
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[@ChildofGod4284]

Good to see you again Eddy. Thanks for video!

[@eddyjoemd]

Good to be back! Thanks for watching!

[@jelenab]

Im a new casual dietitian in medicine (6 months) and the ICU has always seemed so mysterious and scary to me. Your lecture taught me a lot and I realized there aren’t that many huge differences between feeding critically ill and non critically ill patients! Thanks for the info

[@eddyjoemd]

Thanks for watching! Welcome to the team!

[@georgeoost]

Discovered it a bit late but still enjoyed it! Thanks Eddy.

[@Dodo-dc6us]

Thank you so much!

[@EtherealGraceSounds]

Thank you for the video. Im an intern dietitian, preparing for exams and practice. I would appreciate a more detailed explanation of the refeeding syndrome

[@maryem8263]

Please stay safe. 💚 Thank you for what you do.

[@eddyjoemd]

Will do! Thanks for watching!

[@sarahstoughton84]

Yes, I would love to hear more about gut health! This was very interesting. Just finishing up my DNP and I really love learning as much as I can about everything! Thanks so much!

[@eddyjoemd]

Congrats on almost being done! Thanks for watching!

[@shihabumer5455]

Detailed review. Thanks for the lecture. Proud to be part of the PERMIT trial team

[@eddyjoemd]

Thanks for watching and being part of the team! 💪🏼💪🏼💪🏼

[@daikelmartinez9808]

Great topic. Amazing video. Thanks !!!

[@eddyjoemd]

Very kind of you! Thanks for watching!!

[@hockeydude471]

Stay safe out there eddy, hope your unit isn’t too busy!

[@eddyjoemd]

Thanks! It could certainly we worse in my parts.

[@kfsm820]

Definitely dive into gut topics eventually!! Please!! Thanks for the lecture. Stay safe!

[@eddyjoemd]

I’ll try to knock it out tomorrow. Thanks for watching!

[@jeesvarghese7530]

👍👍,very well presented eddy! Thankyou.

[@eddyjoemd]

Thanks for your support!

[@TheEbonydior]

Great video! I am a acute care dietitian and I learned a lot. I will look more into some of the studies mentioned. Thanks for putting together this presentation.

[@eddyjoemd]

Glad it was helpful!

[@abigailalba8977]

Thank you for the lecture! Studying critical care in nursing, and this video helped me delve deeper than what my textbook says.

[@eddyjoemd]

Awesome!

[@user-io7mp8lp6r]

Great videos Eddy, I m a ICUer starter, PhD fellow, love hemodynamic topics, hope to see more videos about that!

[@eddyjoemd]

Thanks, will do!

[@christinafallows3642]

Excellent video! Subscribed, thumbs up, and sharing with my fellow ICU RD’s. My only comment - despite there being little difference in infection rates between enteral and parenteral access, I would still say EN is highly preferred to PN as EN prevents villous atrophy, promote local immune function of the gut, and maintains overall GI structure/function. There is also more concern for hyperglycemia and refeeding syndrome with PN. Looking forward to a gut topics video. :)

[@eddyjoemd]

Thanks for your comments, Christina. I’d rarely reach for PN myself, but I was surprised to find that out the infection component. I’ve maybe ordered PN on three patients in my career where I was the one who decided to initiate it. I’ll work on it this week. 💪🏼💪🏼💪🏼

[@laww4680]

Very informative and thorough, thank you. Yes please would love to see a video on microbiota and the latest FMT research.

[@eddyjoemd]

Appreciate that! I will try to knock it out either this weekend or next week.

[@sahiraftab]

Nice talk joe

[@pattywertz2119]

Dr. Eddyjoe, my husband (deaf) and I were married 36 years. I really appreciate your information, I am so distraught since my husband had only one doctor (not primary care). This was for CLL blood cancer. Chemotherapy and infusion which made him sick...usually infections. Targeted therapy called Venclexta. Other oral meds, either skin or lymph area infections...one in the groin. I know only one way to treat infections because I am not a doctor. I have made hot compresses every 15 mins. Of course drinking water to clean the system is best. I don't know, but the infections did dissipate if you stop taking the medication. Venclexta did not cause tumor lysis. I need to come back to later ....Thank you so much. Patty

[@fluffy-bunny3560]

Yes more talks :) thank you

[@eddyjoemd]

More to come!

[@fitnessladee]

Great, informative video thank you. I would like you to do your video on the immunologic realm of the gut.

[@farhanqadeer82]

One of the best Nutrition lecture I have heard. That's how I prepare my presentation as a fellow . Questions and how to answer those questions based on data. Thanks A lot.

[@farhanqadeer82]

Also huge fan of Honey M from Cooper, His presentations are fantastic. Thanks to both of you

[@eddyjoemd]

Glad it was helpful!

[@eddyjoemd]

He's a buddy of mine! Great dude.

[@AHMED-iy5sg]

Thank you for the update. Can you make a lecture about the deconditioning of critical care patients include physical therapy in ICU.

[@marcoenriquez3177]

Another great video! I would assume that there is a difference in outcomes with the amount of protein given with RRT due to the filtration of amino acids with dialysis especially those receiving CRRT. When I worked in the ICU, any patient on CRRT would receive a protein regimen that would mirror trauma patients (~2gm/kg depending on the patient). In the facility that I worked for, we were fortunate enough to have indirect calorimetry which was a huge blessing. Also, I appreciate that you touch upon infection and TPN. I understand the risk of infection, but much of the recent data shows significant improvements in infection rates. Of course EN is greater, but TPN is a life-saving resource when utilized appropriately and I would always advocate for TPN when applicable. And for those future clinicians and current clinicians don't forget to check phosphorus in refeeding syndrome - many practitioners forgot about this electrolyte for some reason?. Great videos as always! I hope you continue to shed light on nutrition and the importance of it :) -Marco

[@eddyjoemd]

Thanks for contributing this, Marco. Appreciate it a bunch.

[@brookebenton8192]

Great info and easy on the eyes💖😘 lol.

[@eddyjoemd]

🤣🤣🤣 thanks!

[@kyislamic]

Excellent Lecture. Please, could you recommend books for me in nutrition in critically ill patients?

[@eddyjoemd]

Appreciate it. I personally do not know of any books on the matter but I have compiled a webpage with numerous articles you can reference. eddyjoemd.com/icu-nutrition/

[@hashbazwaya]

I gave you thumbs up 😆😆

[@eddyjoemd]

I wish I can give you two hearts! Haha!

[@katiew.4960]

ASPEN Guidelines ESPEN Guidelines Canadian Clinical Practice Guidelines for Critical Care. Important. Dietitian’s use these.

[@eddyjoemd]

👍🏼

[@lester_ernesto]

👏🏽👏🏽👏🏽

[@eddyjoemd]

💪🏼💪🏼💪🏼

[@pulse1272]

Lecture starts from 3:00 . So much random talk .

[@eddyjoemd]

Thanks for giving people this option.