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Nutrition Support Blog: Research Updates and Reading List

Posted by SF8N at May 30, 2013 08:34 AM |
May 30, 2013
Nutrition Support Blog: Research Updates and Reading List

by Joe Krenitsky, MS, RD

Here are some of the latest articles, editorials and letters to editor we have been reading recently.  I have found that letters to the editor can often be more enlightening than the article itself, because experts all over the world often share their critiques and insights about the newest research.  In this case it was rewarding to see that some of these experts (below) had similar evaluations as our December 2012 e-journal club. 


  • Letters to the Editor:  Koretz RL.   Supplemental parenteral nutrition in critically ill patients.  Lancet. 2013 May 18;381(9879):1715. See also letters by Marik P, Hooper M;  Lopes A, Lloret Linares C, Bergmann JF;  Casaer MP, Wilmer A, Van den Berghe G;  and Shime N, MacLaren G, with auther response pages 1715 to 1717.

The new 2012 guidelines of the Surviving Sepsis Campaign were published in Critical Care Medicine and Intensive Care Medicine in February 2013, and this is the first time that the guidelines included nutrition support recommendations.  Some of the new guidelines have been somewhat controversial, and are worth reading in detail.

  • Dellinger RP, Levy MM, Rhodes A, et al.  Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2012.  Crit Care Med. 2013 Feb;41(2):580-637

This editorial addresses some of the thoughts and references regarding one of the Surviving Sepsis nutrition guidelines.  In addition to the clever title, I think it raises some excellent points.

  • Rice TW.  Gluttony in the intensive care unit: time to push back from the consensus table.  Am J Respir Crit Care Med. 2013 Feb 1;187(3):223-4.

This is a brand new article on parenteral nutrition in critically ill patients and the accompanying editorial.  We will be critiquing this article at our next journal club, so look for the summary on our e-journal club page.

  • Doig GS, Simpson F, Sweetman EA, et al.  Early parenteral nutrition in critically ill patients with short-term relative contraindications to early enteral nutrition: a randomized controlled trial.  JAMA. 2013 May 22;309(20):2130-8.
  • Editorial:  Ochoa Gautier JB, Machado FR.  Early nutrition in critically ill patients: feed carefully and in moderation.  JAMA. 2013 May 22;309(20):2165-6.

If you have followed my past blog posts, you won’t be surprised that I recommend this letter to the editor.  I think it raises some good points about our general lack of knowledge about the best protein requirements for critically ill adult patients.  I’ll also paste the link to my past blog post where I mention some similar issues.

This is a nice review on the issues relating to copper deficiencies in patients after bariatric surgery.  We have seen a number of these patients in the past, and based on the incidence reported in studies, I suspect that many of these cases are missed until the deficiency causes morbidity,..or worse.

  • Miller, Nana Gletsu PhD.  Copper Deficiency After Bariatric Surgery.  Clinical Nutrition Insight. 2013: Volume 39 - Issue 5 - p 1-4.

If you have ever seen my desk you know that these are not the only articles piled around me, but are some of the best.  Remember, knowledge is power, France is bacon. (http://knowyourmeme.com/memes/france-is-bacon)


"Read, every day, something no one else is reading. Think, every day, something no one else is thinking. Do, every day, something no one else would be silly enough to do. It is bad for the mind to continually be part of unanimity."              -          Christopher Morley

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