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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

Effect of organisational factors on the variation in incidence of delirium in intensive care unit patients: A systematic review and meta-regression analysis

Paul Rood; G. Huisman - de Waal; H. Vermeulen; Lisette Schoonhoven; Peter Pickkers; Mark van den Boogaard

2018AlgemeenArtikel

Delirium prediction in the intensive care unit: comparison of two delirium prediction models

A. Wassenaar; Lisette Schoonhoven; J.W. Devlin; F.M.P. van Haren; A. J. C. Slooter; P.G. Jorens; Mark van den Boogaard

2018AlgemeenArtikel

Effect of nocturnal sound reduction on the incidence of delirium in intensive care unit patients

van de Pol, Ineke; van Iterson, Mat; Maaskant, Jolanda

INTRODUCTION: Delirium in critically-ill patients is a common multifactorial disorder that is associated with various negative outcomes. It is assumed that sleep disturbances can result in an increased risk of delirium. This study hypothesized that implementing a protocol that reduces overall nocturnal …

2017-08AlgemeenArtikel

Pain measurement in mechanically ventilated patients after cardiac surgery

Rijkenberg, Saskia; Stilma, Willemke (Faculteit Gezondheid); Bosman, Robert J; van der Meer, Nardo J; van der Voort, Peter H J

OBJECTIVES: The Behavioral Pain Scale (BPS) and Critical-Care Pain Observation Tool (CPOT) are behavioral pain assessment tools for sedated and unconscious critically ill patients. The aim of this study was to compare the reliability, internal consistency, and discriminant validation of the BPS and the …

2017-08AlgemeenArtikel

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

Functional recovery in patients with and without Intensive care unit acquired weakness

Dettling-Ihnenfeldt, Daniela Susanne; Wieske, Luuk; Horn, Janneke; Nollet, Frans; van der Schaaf, Marike (Faculteit Gezondheid)

2017-04AlgemeenArtikel

Protein Kinetics and Metabolic Effects Related to Disease States in the Intensive Care Unit

Martindale, Robert G.; Heyland, Daren K.; Rugeles, Saúl J.; Wernerman, Jan; Weijs, Peter J. M. (Lectoraat Voeding En Beweging); Patel, Jayshil J.; McClave, Stephen A.

Evaluating protein kinetics in the critically ill population remains a very difficult task. Heterogeneity in the intensive care unit (ICU) population and wide spectrum of disease processes creates complexity in assessing protein kinetics. Traditionally, protein has been delivered in the context of total …

2017-04AlgemeenArtikel

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

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