Publications by authors named "P L M Lakenman"

Background & Aims: The use of indirect calorimetry to determine energy requirements is highly recommended in critically ill patients. To facilitate this a new and easy to use calorimeter (Q-NRG+, Cosmed) was developed. The primary aim of our study was to describe the usefulness of this calorimeter and, secondarily, to investigate the agreement between measured and predicted energy needs in a large cohort of critically ill adult patients.

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Background: Most critically ill patients with COVID-19 experience malnutrition and weight loss associated with negative clinical outcomes. Our primary aim was to assess body composition during acute and late phase of illness in these patients in relation to clinical outcome and secondary to tailored nutrition support.

Methods: This prospective cohort study included adult critically ill patients with COVID-19.

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Objectives: Patients discharged from the intensive care unit (ICU) often experience physical complaints and poor nutritional intake, which negatively affect their nutritional status (NS). The aim of this study was to describe the NS of patients with COVID-19 1-y post-ICU stay.

Methods: This was an observational study of adult patients with COVID-19 1-y post-ICU stay.

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Article Synopsis
  • The study investigated the relationship between nutritional intake and gastrointestinal (GI) symptoms in critically ill COVID-19 patients during their first 14 days in the ICU.
  • Results showed that while most patients received enteral nutrition, the achievement of energy and protein goals improved over time, despite the presence of GI symptoms.
  • Moderate GI symptoms decreased, and although fluctuations in GI dysfunction and high gastric residual volumes occurred, no patients experienced severe GI failure (grade IV).
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Background & Aims: Different metabolic phases can be distinguished in critical illness, which influences nutritional treatment. Achieving optimal nutritional treatment during these phases in critically ill patients is challenging. COVID-19 patients seem particularly difficult to feed due to gastrointestinal problems.

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