The Feeding, Rehabilitation, Endocrinology & Metabolism section is led by Michael Casaer.

FREM News

Resources

EDUCATION

Nutrition Pathway

The Nutrition Pathway will combine knowledge and skills retention through formal and bedside training to boost continuous professional development and better patient care. Moreover, it will combine training and research to help continuous progress in the field and better future clinical performance.

To apply for the Nutrition Pathway, you should be:

  • ESICM member
  • intensive care doctor, nurse or allied health care professional with a high interest in patient nutrition in intensive care
  • willing to improve your knowledge and skills in the field

The application process is open until April 15. 

Soon after, all applications will be evaluated by a group of experts, and a total of 80 healthcare professionals (50% intensive care doctors and 50% N&AHPs) will be selected to participate in the pathway. The programme is FREE of charge.

Free live webinars are available for members & non members on the ESICM Media Library.

RESEARCH

VITDALIZE

A multicentre, placebo-controlled double-blind phase III randomised clinical trial to examine the effect of high-dose vitamin D3 on 28-day mortality in adult critically ill patients with severe vitamin D deficiency

To date, only 7 interventions (e.g. non invasive ventilation, prone positioning…) have demonstrated a mortality benefit for ICU patients in multicentre trials. If proven to be beneficial, vitamin D treatment in critically ill patients could be immediately implemented worldwide.

> Read more

iSOFA

Intestinal-Specific Organ Function Assessment. To prospectively evaluate the value of gastrointestinal symptoms alone and in combination with Intra-Abdominal Pressure (IAP), and Acute Gastrointestinal Injury (AGI) grades

To determine whether biochemical markers (plasma and urine) of intestinal injury are of additional prognostic value compared to clinical gastro-intestinal symptoms and AGI grades.

Read More

Study

Prospective, observational, multicentre study of gastrointestinal dysfunction in critically-ill patients. Development of gastrointestinal failure score

Publication:

Gastrointestinal symptoms during the first week of intensive care are associated with poor outcome: a prospective multicentre study.

Read More

ICU Nutrition Day

The specific aim of this project is to assess nutritional therapy in ICUs on a specific date in order to detect correlations between nutritional therapies and outcome based on a large European sample.
https://www.nutritionday.org/

Publications:

NutritionDay in Nursing Homes – The Association of Nutritional Intake and Nutritional Interventions With 6-Month Mortality in Malnourished Residents.
> Read more

NutritionDay: 10 years of growth
> Read more

GLUCONTROL

Comparative effects of two glucose control regiments by insulin in ICU patients. This project, which is now over, aimed at defining whether a tight glucose control by insulin improved the vital outcome in a mixed population of critically-ill patients.

Publications:

A prospective randomised multi-centre controlled trial on tight glucose control by intensive insulin therapy in adult intensive care units: the Glucontrol study.
> Read more

Glucontrol, no control, or out of control?
> Read more

Reintam Blaser A. et al. Gastrointestinal dysfunction in the critically ill: a systematic scoping review and research agenda proposed by the Section of Metabolism, Endocrinology and Nutrition of the European Society of Intensive Care Medicine. Crit Care. 2020 May 15;24(1):224. doi: 10.1186/s13054-020-02889-4

Cederholm T. et al. GLIM criteria for the diagnosis of malnutrition – A consensus report from the global clinical nutrition community. J Cachexia Sarcopenia Muscle. 2019 Feb;10(1):207-217. doi: 10.1002/jcsm.12383

Singer P. et al. ESPEN guideline on clinical nutrition in the intensive care unit. Clin Nutr. 2019 Feb;38(1):48-79. doi: 10.1016/j.clnu.2018.08.037

Arabi Y.M. et al. The intensive care medicine research agenda in nutrition and metabolism. Intensive Care Med. 2017 Sep;43(9):1239-1256. doi: 10.1007/s00134-017-4711-6

Arabi Y.M. et al. The intensive care medicine research agenda in nutrition and metabolism. Intensive Care Med. 2017 Sep;43(9):1239-1256. doi: 10.1007/s00134-017-4711-6

Annane D. et al. Guidelines for the Diagnosis and Management of Critical Illness-Related Corticosteroid Insufficiency (CIRCI) in Critically Ill Patients (Part I): Society of Critical Care Medicine (SCCM) and European Society of Intensive Care Medicine (ESICM) 2017. Crit Care Med. 2017 Dec;45(12):2078-2088. doi: 10.1097/CCM.0000000000002737

Arabi Y.M. et al. A critical view on primary and secondary outcome measures in nutrition trials. Intensive Care Med. 2017 Dec;43(12):1875-1877. doi: 10.1007/s00134-017-4894-x

Bagate F. et al. Association between relative adrenal insufficiency and septic cardiomyopathy: a preliminary report. Intensive Care Med. 2017 Dec;43(12):1924-1926. doi: 10.1007/s00134-017-4901-2

Martucci G. et al. The effect of high-dose cholecalciferol on bioavailable vitamin D levels in critically ill patients: a post hoc analysis of the VITdAL-ICU trial. Intensive Care Med. 2017 Nov;43(11):1732-1734. doi: 10.1007/s00134-017-4846-5

Pantoprazole prophylaxis in ICU patients with high severity of disease
> Read this article review

IRON supplementation in ICU patients: The IRONMAN Trial
> Read this article review

Abnormal liver tests in ICU patients: What do they really signal?
> Read this article review

NICE-SUGAR: Glucose Control in Traumatic Brain Injury
> Read this article review

Nutrition in the acute phase of critical illness: Recent findings
> Read this article review