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Route, early or energy? … Protein improves protein balance in critically ill patients.

Weijs, Peter J. M. (Lectoraat Voeding En Beweging)

The critical care community still has mixed feelings when considering the optimal nutrition of intensive care unit (ICU) patients, which is understandable as randomized controlled trials have not been very helpful in improving clinical practice. There have been no randomized controlled trials (RCTs) …

2018-04-14AlgemeenArtikel

Defining anabolic resistance

Morton, Robert; Traylor, Daniel; Weijs, Peter (Lectoraat Voeding En Beweging); Philips, Stuart

Purpose of reviewSkeletal muscle mass with aging, during critical care, and following critical care is a determinant of quality of life and survival. In this review, we discuss the mechanisms that underpin skeletal muscle atrophy and recommendations to offset skeletal muscle atrophy with aging and during, …

2018AlgemeenArtikel

The intensive care medicine research agenda in nutrition and metabolism

Arabi, Yaseen M; Casaer, Michael P.; Chapman, Marianne; Heyland, Daren K.; Ichai, Carole; Marik, Paul E.; Martindale, Robert G.; McClave, Stephen A.; Preiser, Jean-Charles; Reignier, Jean; Rice, Todd W.; Van den Berghe, Greet; van Zanten, Arthur R. H.; Weijs, Peter J. M. (Lectoraat Voeding En Beweging)

PURPOSE: The objectives of this review are to summarize the current practices and major recent advances in critical care nutrition and metabolism, review common beliefs that have been contradicted by recent trials, highlight key remaining areas of uncertainty, and suggest recommendations for the top …

2017-09AlgemeenAndersoortig materiaal

Surviving critical illness, what is next?

Major-Helsloot, Mel; van der Schaaf, M. (Faculteit Gezondheid); Engelbert, R.H.H. (Faculteit Gezondheid)

Abstract number: A-804-0000-00276

2017-07AlgemeenConferentiebijdrage

Summary points and consensus recommendations from the international protein summit

Hurt, Ryan T; McClave, Stephen A; Martindale, Robert G; Ochoa Gautier, Juan B; Coss-Bu, Jorge A; Dickerson, Roland N; Heyland, Daren K; Hoffer, L John; Moore, Frederick A; Morris, Claudia R; Paddon-Jones, Douglas; Patel, Jayshil J; Phillips, Stuart M; Rugeles, Saúl J; Sarav Md, Menaka; Weijs, Peter J M (Lectoraat Voeding En Beweging); Wernerman, Jan; Hamilton-Reeves, Jill; McClain, Craig J; Taylor, Beth

The International Protein Summit in 2016 brought experts in clinical nutrition and protein metabolism together from around the globe to determine the impact of high-dose protein administration on clinical outcomes and address barriers to its delivery in the critically ill patient. It has been suggested …

2017-04-07AlgemeenArtikel

Protein delivery in the intensive care unit

Heyland, Daren K.; Weijs, Peter J. M. (Lectoraat Voeding En Beweging); Coss-Bu, Jorge A.; Taylor, Beth; Kristof, Arnold S.; O'Keefe, Grant E.; Martindale, Robert G.

Emerging evidence suggests that exogenous protein/amino acid supplementation has the potential to improve the recovery of critically ill patients. After a careful review of the published evidence, experts have concluded that critically ill patients should receive up to 2.0-2.5 g/kg/d of protein. Despite …

2017-04AlgemeenArtikel

Experimental and Outcome-Based Approaches to Protein Requirements in the Intensive Care Unit

Weijs, Peter J. M. (Lectoraat Voeding En Beweging); Dickerson, Roland N.; Heyland, Daren K.; Moore, Frederick A.; Rugeles, Saúl J.; McClave, Stephen A.

Insight into protein requirements of intensive care unit (ICU) patients is urgently needed, but at present, it is unrealistic to define protein requirements for different diagnostic groups of critical illness or at different stages of illness. No large randomized controlled trials have randomized protein …

2017-04AlgemeenArtikel

Surviving critical illness: what is next?

Major, M.E.; Kwakman, R. (Faculteit Gezondheid); Kho, M.E.; Connolly, B.; McWilliams, D.; Denehy, L.; Hanekom, S.; Patman, S.; Gosselink, R.; Jones, C.; Nollet, F.; Needham, D.M.; Engelbert, R.H.H. (Faculteit Gezondheid); van der Schaaf, M.

BACKGROUND: The study objective was to obtain consensus on physical therapy (PT) in the rehabilitation of critical illness survivors after hospital discharge. Research questions were: what are PT goals, what are recommended measurement tools, and what constitutes an optimal PT intervention for survivors …

2016-10-29AlgemeenArtikel

de Morton Mobility Index Is feasible, reliable, and valid in patients with critical illness

Sommers, Juultje; Vredeveld, Tom; Lindeboom, Robert; Nollet, Frans; Engelbert, Raoul H.H. (Faculteit Gezondheid); Schaaf, Marike van der

BACKGROUND: Intensive care unit (ICU) stays often lead to reduced physical functioning. Change in physical functioning in patients in the ICU is inadequately assessed through available instruments. The de Morton Mobility Index (DEMMI), developed to assess mobility in elderly hospitalized patients, is …

2016-10-01AlgemeenArtikel

Protein delivery in critical illness

Weijs, Peter J.M. (Lectoraat Voeding En Beweging)

PURPOSE OF REVIEW: Protein delivery in the critically ill still is a highly debated issue. Here, we discuss only the most recent updates in the literature concerning protein nutrition of the critically ill. RECENT FINDINGS: Up to now, there are no randomized controlled trials (RCTs) published on enteral …

2016-08AlgemeenArtikel

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