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Join us for this program which will address the major differences in the pathophysiological changes and inflammatory responses between acute and chronic critical illness (the ebb phase and the flow phase) as well as, transition into Persistent Inflammation, Immunosuppression, Catabolic Syndrome (PICS) and potential nutritional interventions. Within this paradigm we will address gold standard, evidence-based guidelines, as well as, novel research with certain nutritional supplements that may provide benefit for PICS nutrition. Learners will also hear the use of different predictive equations compared to the gold standard indirect calorimetry in assessing energy expenditure in trauma and surgical ICU patients during the initial phase of critical illness, and as the illness and overall condition stabilize while remaining in the critical care unit.
Learning Objectives:
List major physical and biochemical signs that characterize acute and chronic critical illness
Explain the change in energy expenditure during initial and recovery/stable phase of critical illness
Describe nutritional aspects of critical illness, guidelines recommendations, and potential interventions
Outline nutritional interventions for chronic critical illness and PICS
Compare the predictive equations used to estimate energy need with indirect calorimetry during critical illness and identify the pros and cons of these methods
Determine early versus late measured energy requirements in the trauma and surgical ICU patients
Speaker(s):
Amir
Kamel,
PharmD, BCNSP,
Clinical Specialist in Nutrition Support and Critical Care, University of Florida Health; Clinical Assistant Professor,
College of Pharmacy, University of Florida, Gainesville, FL
Martin
Rosenthal,
MD,
Associate Professor, Trauma and Acute Care Surgery,
University of Florida Health, Gainesville, FL
Moderator(s):
Wing Yan
Ng,
RD, CNSC,
VA Puget Sound Health Care System