A5064499441- Clinical Nutrition and Gastroenterology
- Nutrition and Health in Aging
- Electrolyte and hormonal disorders
- Abdominal Surgery and Complications
- Liver Disease Diagnosis and Treatment
- Intensive Care Unit Cognitive Disorders
- Liver Disease and Transplantation
- Pharmacy and Medical Practices
- Palliative Care and End-of-Life Issues
- Child Nutrition and Feeding Issues
- Pharmacological Effects and Toxicity Studies
- Diet and metabolism studies
- Folate and B Vitamins Research
- Frailty in Older Adults
- Pharmaceutical studies and practices
- Respiratory Support and Mechanisms
- Esophageal and GI Pathology
- Child Nutrition and Water Access
- Patient Safety and Medication Errors
- Organ Transplantation Techniques and Outcomes
- Childhood Cancer Survivors' Quality of Life
- Pharmaceutical Practices and Patient Outcomes
- Pneumothorax, Barotrauma, Emphysema
- Enhanced Recovery After Surgery
- Dietetics, Nutrition, and Education
Froedtert Hospital
2015-2023
Medical College of Wisconsin
2013-2017
Enteral nutrition (EN) is a vital component of around the world. EN allows for delivery nutrients to those who cannot maintain adequate by oral intake alone. Common questions regarding are when initiate and in what scenarios it safe. The answers these often complex require an evidence-based approach. Board Directors American Society Parenteral Nutrition (ASPEN) established Committtee address important surrounding indications EN. Consensus recommendations were based on eight extremely...
Current guidelines provide weak recommendations for starting enteral nutrition (EN) in patients with septic shock (on vasopressor support). Outcomes of receiving EN on support have not been well studied. We hypothesize that early trophic mechanically ventilated is associated improved outcomes.Single-center retrospective study admitted to identify (1) no EN, (2) <600 kcal/d within 48 hours, and (3) ≥600 hours. studied included in-hospital mortality, length intensive care unit stay (LOS),...
The optimal dose and timing of enteral nutrition (EN) in septic shock are unclear.We conducted a phase 3 single-center randomized controlled pilot trial comparing early trophic EN with "no EN" mechanically ventilated adults shock, the hypothesis that implementing protocol patients would be feasible. Patients were to or until off vasopressor for hours. primary outcome was feasibility achieving >75% consent compliance rate <10% contamination rate.One hundred thirty-one eligible enrollment, 49...
Purpose: Enteral nutrition (EN) is the preferred route of nutrient delivery in critically ill patients. Research has consistently described an incomplete EN The purpose this study was to investigate barriers reach and maintain >90% prescribed among medical intensive care unit (ICU) Methods: We performed a retrospective cohort quality improvement patients ≥18 years age admitted tertiary ICU referred for from October 1–December 31, 2013. excluded who received intermittent or bolus feeding....
Abstract Background Introducing enteral nutrition (EN) during hemodynamic instability may induce the splanchnic steal phenomenon, which worsen systemic oxygen delivery and increase vasopressor dose. We aimed to determine change in dose septic shock patients who received concomitant EN. hypothesize that EN is not associated with worsening instability, as defined by an ≥50% at 24 hours. Methods This a retrospective observational cohort study of adult were admitted intensive care unit from...
Abstract Background Enteral nutrition (EN) therapy is a multistep process including evaluation, prescription, procurement, dispensing, labeling, administration, and monitoring. EN prone to human errors, but these are poorly defined in the literature. The purpose of this study was audit administration practices quantify errors execution identify which components order were labeled, administered, or documented incorrectly. Methods On 2 nonconsecutive days, we identified all hospitalized...
Abstract Parenteral nutrition (PN) is well recognized for its ability to provide patients without the digest enterally; however, PN must also be seen as a medication with associated adverse drug events similar any other pharmacological agent that administered patients. Here we present case report of localized lower back pain central infusion. The initial areas concern were intravenous lipid emulsion, peripherally inserted catheter placement, osmolarity formula, and additives. patient's was...