Publications by authors named "Melina Gouveia Castro"
Background And Aims: Patients with hemodynamic instability need to receive intensive treatment as fluid replacement and vasoactive drugs. In the meantime, it is supposed to initiate nutritional therapy within 24 to 48 hours after admission to the intensive care unit (ICU), as an essential part of patient's intensive care and better outcomes. However, there are many controversies tangential to the prescription of enteral nutrition (EN) concomitant to the use of vasopressor and its doses.
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- - Interest in non-invasive body composition assessment methods is increasing in health care due to their link to clinical outcomes, with technologies like computed tomography being particularly noted for studies in cancer and sarcopenia.
- - Various methods such as bedside ultrasonography, bioelectrical impedance analysis, and dual x-ray absorptiometry offer accurate measurements of skeletal muscle mass, adipose tissue, and edema, helping to diagnose conditions like malnutrition.
- - Understanding the pros and cons of each assessment technique is crucial for effective clinical application, as discussed in this review of relevant scientific literature and the necessary considerations for implementation.
Background: Nutrition quality control in parenteral nutrition therapy (PNT) allows the identification of inadequate processes in parenteral nutrition (PN). The objective of this study was to assess the quality of PNT at a hospital with an established nutrition support team (NST).
Materials And Methods: This observational, longitudinal, analytical, and prospective study examined 100 hospitalized PNT adult patients under the care of an NST for 21 days or until death/hospital discharge.
Background & Aims: To evaluate the impact of a multifaceted nutritional educational intervention on the quality of nutritional therapy and clinical outcomes in critically ill patients.
Methods: We conducted a prospective, non-blinded study with a non-contemporaneous control group at a 16-bed intensive care unit (ICU) at the Hospital das Clinicas, Department of Gastroenterology, University of Sao Paulo Medical School in Sao Paulo, Brazil. There were three phases.