Improving the delivery of daily calorific targets via the enteral route in a critically ill patient population: A quality improvement cycle in a mixed surgical and medical intensive care unit in the United Kingdom
Author(s): Johnston B.; Ahmed T.; Al-Moasseb Z.; Habgood M.; Clarke S.; Krige A.
Source: Journal of the Intensive Care Society; May 2018; vol. 19 (no. 2); p. 9-10
Publication Date: May 2018
Publication Type(s): Conference Abstract
Abstract:Introduction: Enteral nutrition and adequate calorie intake has been associated with reduced infections and improved survival in critically ill patients. Despite this evidence data suggests patients do not achieve their daily calorific requirement. This 'iatrogenic underfeeding' is thought to be widespread with the CALORIES study revealing that only 10%-30% of prescribed daily kCal was delivered to patients.
How can we improve adoption of protective mechanical ventilation in United Kingdom critical care units?
Author(s): Paul P Dean and Claire Horsfield
Source: Journal of the Intensive Care Society, 2018, Vol. 19(1) 84
Publication Date: Feb 2018
Publication Type(s): Correspondence
We have read with interest the multicentre audit into the application of protective mechanical lung ventilation across the Severn and Wessex regions.1 Through the Critical Care Network (CCN) in Lancashire
and South Cumbria, we have undertaken a quality improvement project associated with lung-protective
ventilation over the last year. Our initial findings were similar to those reported with only 31% of patients
being ventilated in a manner consistent with lung protection (57 ml/kg ideal body weight) and only 11%
were ventilated at 46 ml/kg ideal body weight).
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