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  1. Article ; Online: Accuracy of Water Delivery in Enteral Nutrition Pumps.

    Bertagnolli, Erin J / Patterson, Mindy A / Utech, Anne / Walker, Renee N

    Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition

    2019  Volume 36, Issue 1, Page(s) 219–224

    Abstract: Background: Adequate delivery of both enteral formula and water in patients receiving enteral nutrition (EN) is critical. Pump accuracy has been identified as a factor impeding enteral formula delivery; however, rarely is enteral water delivery ... ...

    Abstract Background: Adequate delivery of both enteral formula and water in patients receiving enteral nutrition (EN) is critical. Pump accuracy has been identified as a factor impeding enteral formula delivery; however, rarely is enteral water delivery investigated. The purpose of this study was to explore accuracy of delivering 1 L of water by EN pumps using different flush volumes and hang heights.
    Methods: Three EN pumps were used in vitro to flush 1 L of water at 50 mL every hour for 20 hours (50 mL, 20 times per day) and 500 mL every 4 hours for 8 hours (500 mL, 2 times per day) at 0 in. and 18 in. (or 45.72 cm) hang heights. Fifteen runs were conducted at each volume and hang height per pump. Actual delivered enteral water, remaining volume in enteral feeding bags, and volume reported per pump were recorded.
    Results: Hang height of 18 in. delivered a mean 3.91% (95% CI, 3.25-4.57) more water than bags hung at 0 in. (P < .0005). When delivering water in 500 mL increments, 1.57% (95% CI, 0.92-2.23) more water was delivered than when delivered in 50 mL increments (P < .005).
    Conclusion: Appropriate hang height recommendations improve enteral water delivery in patients receiving EN. The most accurate setting was 500 mL at 18 in., resulting in accurate water delivery in 97.8% of runs, whereas 50 mL at 0 in. delivered accurately 17.8% of the time. Appropriate bag hang height and water delivery volume is critical to maintain hydration status of patients receiving EN.
    MeSH term(s) Critical Illness ; Enteral Nutrition ; Humans ; Water
    Chemical Substances Water (059QF0KO0R)
    Language English
    Publishing date 2019-09-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 645074-x
    ISSN 1941-2452 ; 0884-5336
    ISSN (online) 1941-2452
    ISSN 0884-5336
    DOI 10.1002/ncp.10410
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2451: Show issues Location:
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  2. Article: Predictive equations for energy needs for the critically ill.

    Walker, Renee N / Heuberger, Roschelle A

    Respiratory care

    2009  Volume 54, Issue 4, Page(s) 509–521

    Abstract: Nutrition may affect clinical outcomes in critically ill patients, and providing either more or fewer calories than the patient needs can adversely affect outcomes. Calorie need fluctuates substantially over the course of critical illness, and nutrition ... ...

    Abstract Nutrition may affect clinical outcomes in critically ill patients, and providing either more or fewer calories than the patient needs can adversely affect outcomes. Calorie need fluctuates substantially over the course of critical illness, and nutrition delivery is often influenced by: the risk of refeeding syndrome; a hypocaloric feeding regimen; lack of feeding access; intolerance of feeding; and feeding-delay for procedures. Lean body mass is the strongest determinant of resting energy expenditure, but age, sex, medications, and metabolic stress also influence the calorie requirement. Indirect calorimetry is the accepted standard for determining calorie requirement, but is unavailable or unaffordable in many centers. Moreover, indirect calorimetry is not infallible and care must be taken when interpreting the results. In the absence of calorimetry, clinicians use equations and clinical judgment to estimate calorie need. We reviewed 7 equations (American College of Chest Physicians, Harris-Benedict, Ireton-Jones 1992 and 1997, Penn State 1998 and 2003, Swinamer 1990) and their prediction accuracy. Understanding an equation's reference population and using the equation with similar patients are essential for the equation to perform similarly. Prediction accuracy among equations is rarely within 10% of the measured energy expenditure; however, in the absence of indirect calorimetry, a prediction equation is the best alternative.
    MeSH term(s) Body Weight/physiology ; Calorimetry, Indirect ; Critical Illness/therapy ; Energy Intake/physiology ; Energy Metabolism/drug effects ; Energy Metabolism/physiology ; Humans ; Nutrition Assessment ; Nutritional Support ; Respiration, Artificial
    Language English
    Publishing date 2009-04
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 603252-7
    ISSN 0020-1324 ; 0098-9142
    ISSN 0020-1324 ; 0098-9142
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: ASPEN Consensus Recommendations for Refeeding Syndrome.

    da Silva, Joshua S V / Seres, David S / Sabino, Kim / Adams, Stephen C / Berdahl, Gideon J / Citty, Sandra Wolfe / Cober, M Petrea / Evans, David C / Greaves, June R / Gura, Kathleen M / Michalski, Austin / Plogsted, Stephen / Sacks, Gordon S / Tucker, Anne M / Worthington, Patricia / Walker, Renee N / Ayers, Phil

    Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition

    2020  Volume 35, Issue 2, Page(s) 178–195

    Abstract: Introduction: In the spring of 2017, the American Society for Parenteral and Enteral Nutrition (ASPEN) Parenteral Nutrition Safety Committee and the Clinical Practice Committee convened an interprofessional task force to develop consensus ... ...

    Abstract Introduction: In the spring of 2017, the American Society for Parenteral and Enteral Nutrition (ASPEN) Parenteral Nutrition Safety Committee and the Clinical Practice Committee convened an interprofessional task force to develop consensus recommendations for identifying patients with or at risk for refeeding syndrome (RS) and for avoiding and managing the condition. This report provides narrative review and consensus recommendations in hospitalized adult and pediatric populations.
    Methods: Because of the variation in definitions and methods reported in the literature, a consensus process was developed. Subgroups of authors investigated specific issues through literature review. Summaries were presented to the entire group for discussion via email and teleconferences. Each section was then compiled into a master document, several revisions of which were reviewed by the committee.
    Findings/recommendations: This group proposes a new clinical definition, and criteria for stratifying risk with treatment and screening strategies. The authors propose that RS diagnostic criteria be stratified as follows: a decrease in any 1, 2, or 3 of serum phosphorus, potassium, and/or magnesium levels by 10%-20% (mild), 20%-30% (moderate), or >30% and/or organ dysfunction resulting from a decrease in any of these and/or due to thiamin deficiency (severe), occurring within 5 days of reintroduction of calories.
    Conclusions: These consensus recommendations are intended to provide guidance regarding recognizing risk and identifying, stratifying, avoiding and managing RS. This consensus definition is additionally intended to be used as a basis for further research into the incidence, consequences, pathophysiology, avoidance, and treatment of RS.
    MeSH term(s) Adolescent ; Adult ; Aged ; Child ; Consensus ; Energy Intake ; Enteral Nutrition/methods ; Female ; Humans ; Incidence ; Infant ; Infant, Newborn ; Magnesium/blood ; Male ; Middle Aged ; Nutrition Assessment ; Parenteral Nutrition/methods ; Phosphorus/blood ; Potassium/blood ; Refeeding Syndrome/diagnosis ; Refeeding Syndrome/epidemiology ; Refeeding Syndrome/prevention & control ; Refeeding Syndrome/therapy ; Risk Factors ; Societies, Medical ; Young Adult
    Chemical Substances Phosphorus (27YLU75U4W) ; Magnesium (I38ZP9992A) ; Potassium (RWP5GA015D)
    Language English
    Publishing date 2020-03-02
    Publishing country United States
    Document type Journal Article ; Practice Guideline ; Review
    ZDB-ID 645074-x
    ISSN 1941-2452 ; 0884-5336
    ISSN (online) 1941-2452
    ISSN 0884-5336
    DOI 10.1002/ncp.10474
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 2451: Show issues Location:
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    ab Jg. 2022: Lesesaal (EG)

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  4. Article: ASPEN Consensus Recommendations for Refeeding Syndrome [Erratum: June 2022, v.35(3); p.584]

    da Silva, Joshua S. V. / Seres, David S. / Sabino, Kim / Adams, Stephen C. / Berdahl, Gideon J. / Citty, Sandra Wolfe / Cober, M. Petrea / Evans, David C. / Greaves, June R. / Gura, Kathleen M. / Michalski, Austin / Plogsted, Stephen / Sacks, Gordon S. / Tucker, Anne M. / Worthington, Patricia / Walker, Renee N. / Ayers, Phil

    Nutrition in clinical practice. 2020 Apr., v. 35, no. 2

    2020  

    Abstract: INTRODUCTION: In the spring of 2017, the American Society for Parenteral and Enteral Nutrition (ASPEN) Parenteral Nutrition Safety Committee and the Clinical Practice Committee convened an interprofessional task force to develop consensus recommendations ...

    Institution Parenteral Nutrition Safety and Clinical Practice Committees, American Society for Parenteral and Enteral Nutrition
    Abstract INTRODUCTION: In the spring of 2017, the American Society for Parenteral and Enteral Nutrition (ASPEN) Parenteral Nutrition Safety Committee and the Clinical Practice Committee convened an interprofessional task force to develop consensus recommendations for identifying patients with or at risk for refeeding syndrome (RS) and for avoiding and managing the condition. This report provides narrative review and consensus recommendations in hospitalized adult and pediatric populations. METHODS: Because of the variation in definitions and methods reported in the literature, a consensus process was developed. Subgroups of authors investigated specific issues through literature review. Summaries were presented to the entire group for discussion via email and teleconferences. Each section was then compiled into a master document, several revisions of which were reviewed by the committee. FINDINGS/RECOMMENDATIONS: This group proposes a new clinical definition, and criteria for stratifying risk with treatment and screening strategies. The authors propose that RS diagnostic criteria be stratified as follows: a decrease in any 1, 2, or 3 of serum phosphorus, potassium, and/or magnesium levels by 10%–20% (mild), 20%–30% (moderate), or >30% and/or organ dysfunction resulting from a decrease in any of these and/or due to thiamin deficiency (severe), occurring within 5 days of reintroduction of calories. CONCLUSIONS: These consensus recommendations are intended to provide guidance regarding recognizing risk and identifying, stratifying, avoiding and managing RS. This consensus definition is additionally intended to be used as a basis for further research into the incidence, consequences, pathophysiology, avoidance, and treatment of RS.
    Keywords adults ; blood serum ; e-mail ; enteral feeding ; magnesium ; parenteral feeding ; pathophysiology ; phosphorus ; potassium ; risk ; spring ; thiamin
    Language English
    Dates of publication 2020-04
    Size p. 178-195.
    Publishing place John Wiley & Sons, Ltd
    Document type Article
    Note JOURNAL ARTICLE
    ZDB-ID 645074-x
    ISSN 1941-2452 ; 0884-5336
    ISSN (online) 1941-2452
    ISSN 0884-5336
    DOI 10.1002/ncp.10474
    Database NAL-Catalogue (AGRICOLA)

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2451: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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