NUTRITION IN SCOTTISH INTENSIVE CARE UNITS 2005-2006. Marcia M c Dougall Queen Margaret Hospital Dunfermline. Aims of the survey. To examine practice in Scotland To examine attitudes about ICU nutrition To decide what to investigate with SICS To find volunteers for SICS nutrition group
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Queen Margaret Hospital
Total number Scottish ICU beds: 173 including 26 specified for level 2 care, most of which can be upgraded to Level 3
Admissions per year: approximately 8880 for the 24 units
Average 51 patients/bed/year
Visits daily in 14/21, 2-3/wk in 7
No d/w medical staff in 9 units
1 unit calls the hospital dietitian as required
Nutrition team in hospital: 11/24, 7 of those attend ICU
Members variable including: pharmacist, GI physician/nurse, biochemist, dietitian, nutrition nurse, anaesthetist, surgeon intensivistDietitians/Nutrition Teams
Types of feed used vary but standard is either Osmolite, Jevity, Jevity Fibre, Fresubin Original or Nutrison Standard
gastric outlet obstruction
Other than Glutamine is not used in any Scottish unit at present
Interest in omega-3 fatty acids and antioxidants is building but literature so far is inconclusive.
‘The way forward is to test single nutrients in large scale, well designed, randomized trials of homogeneous patient populations’