Asia Pacific journal of clinical nutrition
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Asia Pac J Clin Nutr · Jan 2016
Is jejunostomy output nutrient or waste in short bowel syndrome? Experience from six cases.
Certain patients who undergo proximal jejunum resection are unable to undergo primary anastomosis and require exteriorization of the proximal jejunum. These patients usually have major problems with short bowel due to the high output of the stoma. The output of a proximal jejunostomy contains abundant amounts of enzymes and electrolytes. Therefore, it is a feasible approach to re-infuse jejunostomy output to regain homeostasis. To evaluate the effects of proximal jejunostomy output reinfusion into the distal small bowel for patients with short bowel syndrome, and to determine whether reinfusion could avoid long-term parenteral nutrition (PN). ⋯ Short bowel syndrome patients with an adequate length of small bowel and functional colon could avoid long-term PN by receiving reinfusion of proximal jejunostomy output into the distal small bowel.
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Asia Pac J Clin Nutr · Jan 2016
Survey of contemporary feeding practices in critically ill children in the Asia-Pacific and the Middle East.
Nutrition is a fundamental component of care of critically ill children. Determining variation in nutritional practices within paediatric intensive care units (PICUs) allows for review and improvement of nutrition practices. ⋯ Nutrition practices and barriers are unique in Asia-Pacific and the Middle East and strongly reflect a lack of dietetic services. Future effort should focus on developing a uniform approach on nutrition practices to drive paediatric critical care nutrition research in these regions.
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Asia Pac J Clin Nutr · Jan 2016
Lower body mass index is associated with hospital mortality in critically ill Japanese patients.
A recent observational study conducted in European intensive care units (ICU) showed that body mass index (BMI) is associated with mortality. We hypothesized that a lower BMI amongst critically ill Japanese patients was associated with increased hospital mortality, similar to findings noted among critically ill European patients. Therefore, we retrospectively investigated the relationship between BMI and patient outcomes in an ICU. ⋯ Our retrospective study suggests that lower body mass index may be associated with increased hospital mortality in critically ill Japanese patients.
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Asia Pac J Clin Nutr · Jan 2015
Optimal timing for introducing enteral nutrition in the neonatal intensive care unit.
To identify the optimal time for introducing enteral nutrition to critically ill neonates. ⋯ Early enteral nutrition initiation (<24 hours) is recommended. Neonates with mechanical ventilation should be monitored with particular attention.
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Asia Pac J Clin Nutr · Jan 2015
Attitudes toward the American nutrition guidelines for the critically ill patients of Chinese intensive care physicians.
Nutrition therapy is essential for the management of critically ill patients. Some guidelines have been published to standardize and optimize the nutrition therapy. However, there are still many controversies in nutrition practice and there is a gap between guidelines and clinical nutrition therapy for patients in intensive care units (ICUs). ⋯ Members of CSPEN were more likely to select a greater strength of recommendation than non-members. In conclusion, the overall attitudes of Chinese intensive care physicians toward the American guidelines were positive. Nevertheless, given the great guideline-practice gap, nutrition-focused education is warranted for many intensive care physicians in China.