Factors Associated With Fluoroscopy-Guided Placement of Nasoenteral Feeding Tubes
CONCLUSIONS: NET placement under fluoroscopic guidance had a high success rate. Factors that are crucial for planning the approach include a history of upper GI surgery, the dynamic status of the upper GI tract, and features of the upper GI tract.PMID:33624347 | DOI:10.1002/ncp.10636 (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - February 24, 2021 Category: Nutrition Authors: Weiying Guo Ruipeng Zheng Suyang Xue Bin Lv Haifeng Zhang Source Type: research

Challenges in Implementing Exclusive Human Milk Diet to Extremely Low-Birth-Weight Infants in a Level III Neonatal Intensive Care Unit
Nutr Clin Pract. 2021 Feb 23. doi: 10.1002/ncp.10625. Online ahead of print.ABSTRACTPROBLEM: Extremely low-birth-weight (ELBW) infants require fortification of human milk (HM) to prevent growth failure. Bovine milk-based fortifiers (BOV-f) may be associated with feeding intolerance and necrotizing enterocolitis. Evidence suggests that an exclusive HM diet (EHMD) using HM-based fortifier (HM-f) may improve these outcomes.INTERVENTION: EHMD was introduced as a quality improvement project to improve feeding tolerance in ELBW infants.METHOD: Implementation included establishing EHMD feeding protocol and growth monitoring. We c...
Source: Nutrition in Clinical Practice - February 24, 2021 Category: Nutrition Authors: Charity Bushati Belinda Chan Alisha Harmeson Owen Anne Woodbury Michelle Yang Camille Fung Ellen Lechtenberg Marilyn Rigby Mariana Baserga Source Type: research

High-Fat Diet, Hypertriglyceridemia, Hyperlipidemic Acute Pancreatitis: Don't Forget Novel Coronavirus-Induced Acute Pancreatitis
Nutr Clin Pract. 2021 Feb 23. doi: 10.1002/ncp.10627. Online ahead of print.NO ABSTRACTPMID:33624378 | DOI:10.1002/ncp.10627 (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - February 24, 2021 Category: Nutrition Authors: Xianqiang Yu Source Type: research

Use of Instructional Videos to Reduce Central Venous Catheter Complications in Children With Intestinal Failure Receiving Home Parenteral Nutrition
CONCLUSIONS: Children with IF receiving home PN are at high risk for CVC-related complications, and caregivers are the first line of defense for catheter care. Instructional videos were low-cost to create, were well received by all families, and may contribute to reduced catheter-related complications.PMID:33624392 | DOI:10.1002/ncp.10638 (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - February 24, 2021 Category: Nutrition Authors: August Pierik Debby S Martins Linda Casey Hannah G Piper Source Type: research

Factors Associated With Fluoroscopy-Guided Placement of Nasoenteral Feeding Tubes
CONCLUSIONS: NET placement under fluoroscopic guidance had a high success rate. Factors that are crucial for planning the approach include a history of upper GI surgery, the dynamic status of the upper GI tract, and features of the upper GI tract.PMID:33624347 | DOI:10.1002/ncp.10636 (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - February 24, 2021 Category: Nutrition Authors: Weiying Guo Ruipeng Zheng Suyang Xue Bin Lv Haifeng Zhang Source Type: research

Challenges in Implementing Exclusive Human Milk Diet to Extremely Low-Birth-Weight Infants in a Level III Neonatal Intensive Care Unit
Nutr Clin Pract. 2021 Feb 23. doi: 10.1002/ncp.10625. Online ahead of print.ABSTRACTPROBLEM: Extremely low-birth-weight (ELBW) infants require fortification of human milk (HM) to prevent growth failure. Bovine milk-based fortifiers (BOV-f) may be associated with feeding intolerance and necrotizing enterocolitis. Evidence suggests that an exclusive HM diet (EHMD) using HM-based fortifier (HM-f) may improve these outcomes.INTERVENTION: EHMD was introduced as a quality improvement project to improve feeding tolerance in ELBW infants.METHOD: Implementation included establishing EHMD feeding protocol and growth monitoring. We c...
Source: Nutrition in Clinical Practice - February 24, 2021 Category: Nutrition Authors: Charity Bushati Belinda Chan Alisha Harmeson Owen Anne Woodbury Michelle Yang Camille Fung Ellen Lechtenberg Marilyn Rigby Mariana Baserga Source Type: research

High-Fat Diet, Hypertriglyceridemia, Hyperlipidemic Acute Pancreatitis: Don't Forget Novel Coronavirus-Induced Acute Pancreatitis
Nutr Clin Pract. 2021 Feb 23. doi: 10.1002/ncp.10627. Online ahead of print.NO ABSTRACTPMID:33624378 | DOI:10.1002/ncp.10627 (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - February 24, 2021 Category: Nutrition Authors: Xianqiang Yu Source Type: research

Use of Instructional Videos to Reduce Central Venous Catheter Complications in Children With Intestinal Failure Receiving Home Parenteral Nutrition
CONCLUSIONS: Children with IF receiving home PN are at high risk for CVC-related complications, and caregivers are the first line of defense for catheter care. Instructional videos were low-cost to create, were well received by all families, and may contribute to reduced catheter-related complications.PMID:33624392 | DOI:10.1002/ncp.10638 (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - February 24, 2021 Category: Nutrition Authors: August Pierik Debby S Martins Linda Casey Hannah G Piper Source Type: research

Factors Associated With Fluoroscopy-Guided Placement of Nasoenteral Feeding Tubes
CONCLUSIONS: NET placement under fluoroscopic guidance had a high success rate. Factors that are crucial for planning the approach include a history of upper GI surgery, the dynamic status of the upper GI tract, and features of the upper GI tract.PMID:33624347 | DOI:10.1002/ncp.10636 (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - February 24, 2021 Category: Nutrition Authors: Weiying Guo Ruipeng Zheng Suyang Xue Bin Lv Haifeng Zhang Source Type: research

Challenges in Implementing Exclusive Human Milk Diet to Extremely Low-Birth-Weight Infants in a Level III Neonatal Intensive Care Unit
Nutr Clin Pract. 2021 Feb 23. doi: 10.1002/ncp.10625. Online ahead of print.ABSTRACTPROBLEM: Extremely low-birth-weight (ELBW) infants require fortification of human milk (HM) to prevent growth failure. Bovine milk-based fortifiers (BOV-f) may be associated with feeding intolerance and necrotizing enterocolitis. Evidence suggests that an exclusive HM diet (EHMD) using HM-based fortifier (HM-f) may improve these outcomes.INTERVENTION: EHMD was introduced as a quality improvement project to improve feeding tolerance in ELBW infants.METHOD: Implementation included establishing EHMD feeding protocol and growth monitoring. We c...
Source: Nutrition in Clinical Practice - February 24, 2021 Category: Nutrition Authors: Charity Bushati Belinda Chan Alisha Harmeson Owen Anne Woodbury Michelle Yang Camille Fung Ellen Lechtenberg Marilyn Rigby Mariana Baserga Source Type: research

High-Fat Diet, Hypertriglyceridemia, Hyperlipidemic Acute Pancreatitis: Don't Forget Novel Coronavirus-Induced Acute Pancreatitis
Nutr Clin Pract. 2021 Feb 23. doi: 10.1002/ncp.10627. Online ahead of print.NO ABSTRACTPMID:33624378 | DOI:10.1002/ncp.10627 (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - February 24, 2021 Category: Nutrition Authors: Xianqiang Yu Source Type: research

Use of Instructional Videos to Reduce Central Venous Catheter Complications in Children With Intestinal Failure Receiving Home Parenteral Nutrition
CONCLUSIONS: Children with IF receiving home PN are at high risk for CVC-related complications, and caregivers are the first line of defense for catheter care. Instructional videos were low-cost to create, were well received by all families, and may contribute to reduced catheter-related complications.PMID:33624392 | DOI:10.1002/ncp.10638 (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - February 24, 2021 Category: Nutrition Authors: August Pierik Debby S Martins Linda Casey Hannah G Piper Source Type: research

Seeding of Gastrostomy Tube Site in Patient with Squamous Cell Carcinoma of the Tongue: A Case Report
This article presents a case report of a young male with squamous cell carcinoma of the tongue. Unfortunately, he developed metastasis of his cancer at the right lateral side of the PEG placement site, requiring surgical resection of seeded growth at the PEG site. This rare complication can be challenging, as it requires a high index of suspicion to diagnose and can potentially limit nutrition support options. A number of theories have been proposed to explain seeding during PEG/PEJ placement, including direct repositioning of malignant cells during instrumentation. A specific placement technique has not been shown to be s...
Source: Nutrition in Clinical Practice - February 22, 2021 Category: Nutrition Authors: Bethaney Wescott Sara Seegmiller Osman Mohamed Elfadil Jill Schneckloth Ryan T Hurt Manpreet S Mundi Source Type: research

Ethical Aspects of Artificially Administered Nutrition and Hydration: An ASPEN Position Paper
Nutr Clin Pract. 2021 Feb 22. doi: 10.1002/ncp.10633. Online ahead of print.ABSTRACTThe American Society for Parenteral and Enteral Nutrition (ASPEN) Position Paper focus is on applying the 4 ethical principles for clinician's decision-making in the use of artificially administered nutrition and hydration (AANH) for adult and pediatric patients. These basic principles are (1) autonomy, respect the patient's healthcare preferences; (2) beneficence, provide healthcare in the best interest of the patient; (3) nonmaleficence, do no harm; and (4) justice, provide all individuals a fair and appropriate distribution of healthcare...
Source: Nutrition in Clinical Practice - February 22, 2021 Category: Nutrition Authors: Denise Baird Schwartz Albert Barrocas Maria Giuseppina Annetta Kathleen Stratton Carol McGinnis Gil Hardy Theodoric Wong Diego Arenas Mary Pat Turon-Findley Rub én Gustavo Kliger Kelly Green Corkins Jay Mirtallo Teruyoshi Amagai Peggi Guenter Source Type: research

Seeding of Gastrostomy Tube Site in Patient with Squamous Cell Carcinoma of the Tongue: A Case Report
This article presents a case report of a young male with squamous cell carcinoma of the tongue. Unfortunately, he developed metastasis of his cancer at the right lateral side of the PEG placement site, requiring surgical resection of seeded growth at the PEG site. This rare complication can be challenging, as it requires a high index of suspicion to diagnose and can potentially limit nutrition support options. A number of theories have been proposed to explain seeding during PEG/PEJ placement, including direct repositioning of malignant cells during instrumentation. A specific placement technique has not been shown to be s...
Source: Nutrition in Clinical Practice - February 22, 2021 Category: Nutrition Authors: Bethaney Wescott Sara Seegmiller Osman Mohamed Elfadil Jill Schneckloth Ryan T Hurt Manpreet S Mundi Source Type: research

Ethical Aspects of Artificially Administered Nutrition and Hydration: An ASPEN Position Paper
Nutr Clin Pract. 2021 Feb 22. doi: 10.1002/ncp.10633. Online ahead of print.ABSTRACTThe American Society for Parenteral and Enteral Nutrition (ASPEN) Position Paper focus is on applying the 4 ethical principles for clinician's decision-making in the use of artificially administered nutrition and hydration (AANH) for adult and pediatric patients. These basic principles are (1) autonomy, respect the patient's healthcare preferences; (2) beneficence, provide healthcare in the best interest of the patient; (3) nonmaleficence, do no harm; and (4) justice, provide all individuals a fair and appropriate distribution of healthcare...
Source: Nutrition in Clinical Practice - February 22, 2021 Category: Nutrition Authors: Denise Baird Schwartz Albert Barrocas Maria Giuseppina Annetta Kathleen Stratton Carol McGinnis Gil Hardy Theodoric Wong Diego Arenas Mary Pat Turon-Findley Rub én Gustavo Kliger Kelly Green Corkins Jay Mirtallo Teruyoshi Amagai Peggi Guenter Source Type: research

Response to "Low albumin levels should be interpreted, but not ignored"
Nutr Clin Pract. 2021 Feb 12. doi: 10.1002/ncp.10648. Online ahead of print.NO ABSTRACTPMID:33580558 | DOI:10.1002/ncp.10648 (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - February 13, 2021 Category: Nutrition Authors: David C Evans Peggi Guenter Gordon Jensen Ainsley Malone Source Type: research

Response to High fat diet, Hypertriglyceridemia, Hyperlipidemic Acute Pancreatitis: Don't Forget Novel Coronavirus-Induced Acute Pancreatitis
Nutr Clin Pract. 2021 Feb 12. doi: 10.1002/ncp.10630. Online ahead of print.NO ABSTRACTPMID:33580592 | DOI:10.1002/ncp.10630 (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - February 13, 2021 Category: Nutrition Authors: Enrik John T Aguila Ian Homer Y Cua Joy Arabelle C Fontanilla Vince Leenard M Yabut Marion Frances P Causing Source Type: research

Editor's Note
Nutr Clin Pract. 2021 Feb;36(1):11. doi: 10.1002/ncp.10626.NO ABSTRACTPMID:33580735 | DOI:10.1002/ncp.10626 (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - February 13, 2021 Category: Nutrition Authors: Jeanette M Hasse Source Type: research

Thirty-Five Years of Nutrition in Clinical Practice-A View of the Past and a Path to the Future
Nutr Clin Pract. 2021 Feb;36(1):12-21. doi: 10.1002/ncp.10632.NO ABSTRACTPMID:33580736 | DOI:10.1002/ncp.10632 (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - February 13, 2021 Category: Nutrition Authors: Jeanette M Hasse Philip J Schneider Peggi Guenter Charles W Van Way Sarah J Miller Source Type: research

Response to "Low albumin levels should be interpreted, but not ignored".
Response to "Low albumin levels should be interpreted, but not ignored". Nutr Clin Pract. 2021 Feb 12;: Authors: Evans DC, Guenter P, Jensen G, Malone A PMID: 33580558 [PubMed - as supplied by publisher] (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - February 12, 2021 Category: Nutrition Authors: Evans DC, Guenter P, Jensen G, Malone A Tags: Nutr Clin Pract Source Type: research

Response to High fat diet, Hypertriglyceridemia, Hyperlipidemic Acute Pancreatitis: Don't Forget Novel Coronavirus-Induced Acute Pancreatitis.
PMID: 33580592 [PubMed - as supplied by publisher] (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - February 12, 2021 Category: Nutrition Authors: Aguila EJT, Cua IHY, Fontanilla JAC, Yabut VLM, Causing MFP Tags: Nutr Clin Pract Source Type: research

Editor's Note.
PMID: 33580735 [PubMed - as supplied by publisher] (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - February 1, 2021 Category: Nutrition Authors: Hasse JM Tags: Nutr Clin Pract Source Type: research

Thirty-Five Years of Nutrition in Clinical Practice-A View of the Past and a Path to the Future.
PMID: 33580736 [PubMed - as supplied by publisher] (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - February 1, 2021 Category: Nutrition Authors: Hasse JM, Schneider PJ, Guenter P, Van Way CW, Miller SJ Tags: Nutr Clin Pract Source Type: research

Pediatric Nephrotic Syndrome: Pharmacologic and Nutrition Management.
Abstract Nephrotic syndrome is a common kidney disease during childhood that is characterized by alterations in glomerular filtration and leads to protein, fluid, and nutrient loss in the urine. Most patients experience peripheral, gravity-dependent edema; however, serious cases exhibit anasarca and ascites. Many long-term complications of the disease exist due to the underlying pathology and the therapies used for treatment, including metabolic bone disease, micronutrient deficiencies, and hyperlipidemia. Pharmacologic and nutrition interventions are key to appropriate management. Fluid and sodium restriction in ...
Source: Nutrition in Clinical Practice - January 19, 2021 Category: Nutrition Authors: Hampson KJ, Gay ML, Band ME Tags: Nutr Clin Pract Source Type: research

The History of Human Subjects Research and Rationale for Institutional Board Review Oversight.
Abstract The history of human subjects research and the abuses that led to the creation of the United States' (US) regulatory schema for research, which includes institutional review boards (IRBs), is long and complex. However, when one understands the history, one can see direct links between those abuses and the regulations, as well as the ethical principles, contained in the Belmont Report. To that end, we provide a brief analysis of the history of human subjects research and its abuses, including a lesser known case (the atrocities committed by Nazi scientists and physicians during World War II) and infamous c...
Source: Nutrition in Clinical Practice - January 13, 2021 Category: Nutrition Authors: Spellecy R, Busse K Tags: Nutr Clin Pract Source Type: research

Energy and Protein Intake After Return Home in Colorectal Surgery Patients With an Enhanced Recovery Program: A Prospective Observational Study.
Abstract BACKGROUND: In patients scheduled for colorectal surgery with an enhanced recovery program (ERP), feeding after returning home has been insufficiently investigated. The aim of this study was to measure energy and protein intake during the first month at home. METHODS: Seventy adult patients scheduled for colorectal surgery with ERP were included. Calorie and protein intakes were calculated, and body weight was measured preoperatively and 3, 7, 15, and 30 days after discharge home. Data are mean ± SD or median (interquartile range). RESULTS: Patient characteristics were age 60.0 ± 1...
Source: Nutrition in Clinical Practice - January 7, 2021 Category: Nutrition Authors: Hubert M, Gabriel D, El Khouda S, Coster M, Routiaux C, Hans G, Nihant N, Joris J Tags: Nutr Clin Pract Source Type: research

Description of a Nutrition Screening and Assessment Tool and Associations with Clinical Outcomes in Preterm Newborns.
This article evaluates a nutrition screening tool in a neonatal intensive care unit (NICU). METHOD: Retrospective longitudinal study of preterm newborns (aged
Source: Nutrition in Clinical Practice - January 7, 2021 Category: Nutrition Authors: Belin CHS, Sarmento RA, Refosco LF, Bernardi JR Tags: Nutr Clin Pract Source Type: research

The Nuts and Bolts of Critically Appraising Observational and Randomized Controlled Studies.
PMID: 33395501 [PubMed - as supplied by publisher] (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - January 4, 2021 Category: Nutrition Authors: Koretz RL Tags: Nutr Clin Pract Source Type: research

Nutrition Management of the High-Output Fistulae.
Abstract Enterocutaneous fistulae (ECFs) are commonly encountered complications in medical and surgical practice. High-output fistulae are associated with significant morbidity and mortality, poor quality of life, and a substantial healthcare burden. An interdisciplinary team approach is crucial to prevent and mitigate the adverse clinical consequences of high-output ECFs including sepsis, metabolic derangements, and malnutrition. Patients with ECFs are at a significantly higher risk of developing malnutrition and close monitoring by nutrition support professionals and/or a nutrition support team is an essential c...
Source: Nutrition in Clinical Practice - December 24, 2020 Category: Nutrition Authors: Couper C, Doriot A, Siddiqui MTR, Steiger E Tags: Nutr Clin Pract Source Type: research

Low Plasma Albumin Levels Should Be Interpreted, but not Ignored. Comment on: The use of visceral proteins as nutrition markers: an ASPEN position paper.
PMID: 33368587 [PubMed - as supplied by publisher] (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - December 24, 2020 Category: Nutrition Authors: Dioguardi FS Tags: Nutr Clin Pract Source Type: research

Scurvy: A Disease not to be Forgotten.
In conclusion, scurvy should be considered in the differential diagnosis of patients with petechiae and ecchymosis, especially when food restriction, malabsorption, or psychiatric disorders are present. PMID: 33368529 [PubMed - as supplied by publisher] (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - December 23, 2020 Category: Nutrition Authors: Montalto M, Porceddu E, Pero E, Lupascu A, Gallo A, De Simone C, Nucera E, Aruanno A, Giarretta I, Pola R, Landolfi R Tags: Nutr Clin Pract Source Type: research

Association Between Low Zinc Levels and Severity of Acute Respiratory Distress Syndrome by New Coronavirus (SARS-CoV-2).
PBB, Parrillo EF Abstract BACKGROUND: We verify the prevalence of low zinc levels among critically ill patients infected by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) in the intensive care unit (ICU) who required invasive mechanical ventilation, as well as its association with severity of acute respiratory distress syndrome (ARDS). METHODS: This is an observational study composed of patients admitted to the ICU. Demographics, anthropometric data for calculating body mass index (BMI), and laboratory data were obtained at admission: blood count, ferritin, arterial blood gas, serum zinc levels...
Source: Nutrition in Clinical Practice - December 23, 2020 Category: Nutrition Authors: Gonçalves TJM, Gonçalves SEAB, Guarnieri A, Risegato RC, Guimarães MP, de Freitas DC, Razuk-Filho A, Junior PBB, Parrillo EF Tags: Nutr Clin Pract Source Type: research

Increased Association With Malnutrition and Malnourishment in Older Adults Admitted With Hip Fractures Who Have Cognitive Impairment and Delirium, as Assessed by 4AT.
CONCLUSIONS: Among older adults admitted with hip fractures, high 4AT scores, which are suggestive of cognitive impairment and delirium, identified patients at increased malnutrition risk. These findings lend further support for the use of 4AT to identify patients who are at increased health risk. PMID: 33368631 [PubMed - as supplied by publisher] (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - December 23, 2020 Category: Nutrition Authors: Han TS, Lisk R, Osmani A, Sharmin R, El Gammel S, Yeong K, Fluck D, Fry CH Tags: Nutr Clin Pract Source Type: research

Transitioning From Nasogastric Feeding Tube to Gastrostomy Tube in Pediatric Patients: A Survey on Decision-Making and Practice.
CONCLUSIONS: This survey is the first step to address the knowledge gap surrounding feeding tube choices by ascertaining the current standard of practice regarding enteral access devices and appropriate timing of transitioning from NGT to GT feeding. The results highlight current practice variability and concerns. Information from the survey was used to formulate a decision tree to guide the transition of NGT to GT feeding that nutrition support professionals can use to advocate for best practices in their hospital and community settings. PMID: 33347651 [PubMed - as supplied by publisher] (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - December 21, 2020 Category: Nutrition Authors: Abdelhadi RA, Rempel G, Sevilla W, Turner JM, Quet J, Nelson A, Rahe K, Wilhelm R, Larocque J, Guenter P, ASPEN Enteral Nutrition Task Force Pediatric Work Group Tags: Nutr Clin Pract Source Type: research

Gastroparesis in the Hospital Setting.
Abstract Gastroparesis (GP) is commonly seen in hospitalized patients. Refractory vomiting and related dehydration, electrolyte abnormalities, and malnutrition are indications for hospital admission. In addition, tube feeding intolerance is a common sign of gastric dysmotility in critically ill patients. The diagnosis and management of GP in the hospital setting can be quite challenging. Diagnostic tests are often deferred because of patient intolerance of the oral meal for standard scintigraphy or severity of the primary disease. The diagnosis of GP is often established on the basis of clinical scenario and risk ...
Source: Nutrition in Clinical Practice - December 18, 2020 Category: Nutrition Authors: Rangan V, Ukleja A Tags: Nutr Clin Pract Source Type: research

Should I Start With A Postpyloric Enteral Nutrition Modality?
Abstract Nutrition therapy is a key element in the management of malnourished and critically ill patients. Although many aspects of enteral nutrition (EN) have been well defined by research, with clear recommendations by 3 major society guidelines, EN delivery method remains a topic for debate. The goal of this manuscript is to concisely review gastric vs postpyloric enteral feeding in critically ill adult patients and provide a set of recommendations to individualize EN delivery method based on patient characteristics and specific needs. PMID: 33326156 [PubMed - as supplied by publisher] (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - December 16, 2020 Category: Nutrition Authors: Kuwajima V, Bechtold ML Tags: Nutr Clin Pract Source Type: research

Growth, Body Composition, and Lung Function in Prepubertal Children with Cystic Fibrosis Diagnosed by Newborn Screening.
CONCLUSION: In this NBS CF population, gender differences in growth and BC were apparent despite preserved lung function. These results support BC assessment in prepubertal children, particularly girls, with an opportunity to direct interventions to optimize FFM. PMID: 33301217 [PubMed - as supplied by publisher] (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - December 10, 2020 Category: Nutrition Authors: Owen E, Williams JE, Davies G, Wallis C, Grant RL, Fewtrell MS Tags: Nutr Clin Pract Source Type: research

Measured vs Predicted Energy Expenditure in Mechanically Ventilated Adults With Acute, Traumatic Spinal Cord Injuries.
CONCLUSION: In the absence of IC, PS 2003b or the derived Weir equation may be acceptable predictive equations in this population. However, bedside clinicians should monitor carefully for signs and symptoms of overfeeding. PMID: 33300194 [PubMed - as supplied by publisher] (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - December 9, 2020 Category: Nutrition Authors: Pelekhaty SL, Ramirez CL, Massetti JM, Gaetani D, Riggin K, Schwartzbauer G, Stein DM Tags: Nutr Clin Pract Source Type: research

Are Classic Bedside Exam Findings Required to Initiate Enteral Nutrition in Critically Ill Patients: Emphasis on Bowel Sounds and Abdominal Distension.
Abstract The general physical examination of a patient is an axiom of critical care medicine, but evidence to support this practice remains sparse. Given the lack of evidence for a comprehensive physical examination of the entire patient on admission to the intensive care unit, which most clinicians consider an essential part of care, should clinicians continue the practice of a specialized gastrointestinal system physical examination when commencing enteral nutrition in critically ill patients? In this review of literature related to gastrointestinal system examination in critically ill patients, the focus is on ...
Source: Nutrition in Clinical Practice - December 9, 2020 Category: Nutrition Authors: Deane AM, Ali Abdelhamid Y, Plummer MP, Fetterplace K, Moore C, Reintam Blaser A Tags: Nutr Clin Pract Source Type: research

Parenteral Nutrition Prescribing and Order Review Safety Study: The Need for Pharmacist Intervention.
CONCLUSION: This study supports the need for institutions to develop systems to comply with published PN safety recommendations, including knowledgeable and skilled pharmacists to complete the order review and verification steps for this high-alert medication. PMID: 33275303 [PubMed - as supplied by publisher] (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - December 4, 2020 Category: Nutrition Authors: Kraft MD, Tucker AM, Durfee SM, Jones T, Guenter P, Banko DE, Ayers P, Boullata J, Raymond E, Sacks GS Tags: Nutr Clin Pract Source Type: research

Editor's Note.
PMID: 33185957 [PubMed - in process] (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - November 17, 2020 Category: Nutrition Authors: Hasse JM Tags: Nutr Clin Pract Source Type: research

Nutrition Risk Assessed by STRONGkids Predicts Longer Hospital Stay in a Pediatric Cohort: A Survival Analysis.
CONCLUSION: The nutrition risk assessed by STRONGkids independently predicts LOS in pediatric patients. For this outcome, patients with 3 points (moderate risk) should be treated with the same priority as those with high risk. PMID: 33175423 [PubMed - as supplied by publisher] (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - November 11, 2020 Category: Nutrition Authors: Santos CAD, Rosa COB, Franceschini SDCC, Firmino HH, Ribeiro AQ Tags: Nutr Clin Pract Source Type: research

Acute Kidney Injury Incidence in Hospitalized Patients and Implications for Nutrition Support.
Abstract Hospitalized adult patients suffer from high rates of acute kidney injury (AKI), which puts them at risk for multiple nutrition problems. The etiology and management strategy of AKI has major implications for the management of the hospitalized patient. The purpose of this review is to understand the incidence and management of AKI in hospitalized adult patients and review the challenges to providing adequate nutrition support. PMID: 33140897 [PubMed - as supplied by publisher] (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - November 3, 2020 Category: Nutrition Authors: Meyer D, Mohan A, Subev E, Sarav M, Sturgill D Tags: Nutr Clin Pract Source Type: research

The Use of Visceral Proteins as Nutrition Markers: An ASPEN Position Paper.
Abstract Serum albumin and prealbumin, well-known visceral proteins, have traditionally been considered useful biochemical laboratory values in a nutrition assessment. However, recent literature disputes this contention. The aim of this document is to clarify that these proteins characterize inflammation rather than describe nutrition status or protein-energy malnutrition. Both critical illness and chronic illness are characterized by inflammation and, as such, hepatic reprioritization of protein synthesis occurs, resulting in lower serum concentrations of albumin and prealbumin. In addition, the redistribution of...
Source: Nutrition in Clinical Practice - October 30, 2020 Category: Nutrition Authors: Evans DC, Corkins MR, Malone A, Miller S, Mogensen KM, Guenter P, Jensen GL, ASPEN Malnutrition Committee Tags: Nutr Clin Pract Source Type: research

Screening Tests for Sarcopenia in Patients with Chronic Kidney Disease.
Abstract BACKGROUND: Patients with chronic kidney disease (CKD) are at increased risk of muscle wasting. Screening tools for sarcopenia, including the Sarc-F questionnaire are now advocated for clinical practice. We wished to compare using the Sarc-F tool with standard measurements of hand grip (HGS) strength and appendicular muscle mass index (APMI). METHODS: We retrospectively reviewed Sarc-F questionnaires completed by patients with CKD, along with contemporaneous measurements of HGS and bioimpedance measured APMI. RESULTS: 146 patients; 94 male (64.4%), mean age 70.5 ± 15 years, body mass inde...
Source: Nutrition in Clinical Practice - October 30, 2020 Category: Nutrition Authors: Jiang K, Slee A, Davenport A Tags: Nutr Clin Pract Source Type: research

Lingual Linear Lesions: A Clinical Sign Strongly Suggestive of Severe Vitamin B12 Deficiency.
CONCLUSION: LLLs might be a clinical sign strongly suggestive of severe vitamin B12 deficiency. PMID: 33126294 [PubMed - as supplied by publisher] (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - October 30, 2020 Category: Nutrition Authors: Bao ZX, Yang XW, Fang DD Tags: Nutr Clin Pract Source Type: research

Nutrition Support Therapies on the Medication Administration Record: Impacts on Staff Perception of Nutrition Care.
CONCLUSION: Inclusion of NST in the MAR presents an innovative solution to enhance staff awareness of ordered therapies and perception of improved documentation of nutrition interventions for hospitalized patients. PMID: 33095472 [PubMed - as supplied by publisher] (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - October 23, 2020 Category: Nutrition Authors: Citty SW, Bjarnadottir RI, Marlowe BL, Jones S, Lucero RJ, Garvan CW, Kamel AY, Westhoff L, Keenan G Tags: Nutr Clin Pract Source Type: research

Nutrition Support During Prone Positioning: An Old Technique Reawakened by COVID-19.
Abstract Acute respiratory distress syndrome (ARDS) is a complex disease characterized by inflammation, resulting in diffuse alveolar damage, proliferation, and fibrosis, and carries a high mortality rate. Recently, the novel coronavirus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has overwhelmed healthcare systems worldwide, as many patients have required hospitalization for the management of respiratory failure similar in nature to ARDS. In addition to lung-protective ventilation strategies aimed to maintain an oxygen saturation>90%, a ratio of partial pressure of oxygen to fraction of insp...
Source: Nutrition in Clinical Practice - October 23, 2020 Category: Nutrition Authors: Behrens S, Kozeniecki M, Knapp N, Martindale RG Tags: Nutr Clin Pract Source Type: research

Update on the Use of Filters for Parenteral Nutrition: An ASPEN Position Paper.
Abstract Intravenous in-line filters play a critical role in promoting patient safety during parenteral nutrition (PN) administration. Guidelines for using filters for PN have been issued by a number of professional organizations and manufacturers of PN components. Yet despite this guidance, filter use remains controversial. Recent changes in recommendations for filtering lipid injectable emulsions have added to confusion and created considerable variation in practice. This Position Paper aims to review past guidance regarding the filtration of PN, examine the clinical consequences of infusing particulate matter, ...
Source: Nutrition in Clinical Practice - October 22, 2020 Category: Nutrition Authors: Worthington P, Gura KM, Kraft MD, Nishikawa R, Guenter P, Sacks GS, ASPEN PN Safety Committee Tags: Nutr Clin Pract Source Type: research