Related Experiment Video
Updated: Jun 1, 2026
09:17
Use of a Central Venous Line for Fluids, Drugs and Nutrient Administration in a Mouse Model of Critical Illness
Published on: May 2, 2017
Nutrition in critical care.
Robert H Bartlett1, Ronald E Dechert
1Department of Surgery, University of Michigan Hospitals, B560 MSRB II/SPC 5686, 1150 West Medical Center Drive, Ann Arbor, MI 48109, USA. robbar@umich.edu
The Surgical Clinics of North America
|May 31, 2011
Summary
Critical care nutrition has advanced significantly over 5 decades. Enteral feeding is now routine, and metabolic monitoring guides clinical practice for critically ill patients.
Area of Science:
- Critical care medicine
- Clinical nutrition
- Metabolic monitoring
Background:
- Critical care has transformed into a specialized field over the past 50 years.
- The management of critically ill patients has seen major advancements in supportive therapies.
- Nutritional support has become a cornerstone of critical care management.
Observation:
- Feeding patients unable to eat has progressed from impossible to standard practice in 4 decades.
- Metabolism-based nutrition for critically ill patients has transitioned from research to clinical application in 3 decades.
- The authors provide a historical perspective on these critical care nutrition advancements.
Findings:
- Critical care medicine has evolved over 5 decades.
- Nutritional support for critically ill patients has advanced significantly.
- Metabolism-based nutrition is now a clinical reality.
Implications:
- Future practices in critical care nutrition will likely build upon current metabolic monitoring and advanced feeding techniques.
- Understanding the evolution of critical care nutrition informs present-day best practices.
- Continued research and clinical integration are vital for optimizing outcomes in critically ill patients.
Related Concept Videos
01:28Chronic Kidney Disease III: Interprofessional Care
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
01:15Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube through...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube through...
01:22Acute Kidney Injury VI: Nursing Management
Acute Kidney Injury (AKI) results in an inability to maintain fluid, electrolyte, and acid-base balance. Effective nursing management is critical in improving patient outcomes and includes comprehensive patient assessment and targeted interventions.Comprehensive Patient AssessmentA detailed history collection is essential, focusing on any recent infections, nephrotoxic medication use, or chronic conditions such as hypertension and diabetes that may contribute to AKI. During the physical...
01:29Acute Respiratory Failure-V
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Ensure that patients are monitored continuously for their response to therapy, including changes in...
01:26Enteral Nutrition I: Orogastric and Nasogastric Feeding
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...