JUST RELEASED and free access in #NCP online: ASPEN Consensus Recommendations for Refeeding Syndrome. ow.ly/Avdr50yDVFk

ATTENTION #PedsICU-PLEASE RETWEET. #WFPICCS20 in 🇲🇽 is being postponed. ☹️ WFPICCS website will be updated soon with more info but I’ve been asked to disseminate ASAP to ensure wide reach. Thank you to organizers- I know this was extraordinarily difficult decision. #COVID19

Last year I developed an online course titled Master the Nutrition Care Process (enrolment $395AUD), given the disruption students & dietitians are facing, with the support of previous students, I’ve removed the enrolment fee until the end of June 💙 clinicaldietetics.online

Critical Care Specialist group guidance on management of nutrition an dietetic services during the COVID-19 pandemic: bda.uk.com/resource/criti… A huge thank you to Ella Terblanche MBE & Dr Danielle Bear for working so hard to bring us this guideline at such a busy time!

Recognizing the risk of HCW spread, we have stopped all bedside rounds in the @HopkinsPICU. Unfortunate but necessary changes to our routines in the midst of a pandemic. #covid19 #PedsICU #medtwitter

Very proud to have been involved in this piece with int’l #pedsicu colleagues from Italy, South Korea and Canada! #covid19 Srinivas Murthy, MD, MHSc Niranjan Kissoon Pediatric Critical Care Medicine SCCM SickKids Critical Care Medicine WFPICCS PACCMAN

Last week I was fortunate to give a talk on critically ill COVID-19 and nutrition management- here is the link to the recording if you missed it: dietitianconnection.com/product/nutrit…

Aside from #respiratory, what are top challenges facing #COVID19 pts in stepdown after #ICU? 1. Weakness 🛌 2. #Delirium & new cognitive impairment 🧠 3. #Nutrition nutrition 🍎 4. Isolation - unable to leave rooms, no visitors 😞 #acutePT #OT #SLPeeps #dietitian=INVALUABLE

*NEW* paper on fatigue in #ARDS survivors (n=732) At 6 mo., 70% had fatigue By 12mo., 31% had no change + 28% worsened ICU severity of illness NOT associated w/ fatigue Research done by ImproveLTO & funded by @nih_nhlbi sciencedirect.com/science/articl…

Spread word! We now have three official hashtags to help curate all #COVID19 updates, papers, discussion related to kids Please use #PIMSTS (thx Barney Scholefield 🌈 💙) in addition to #PedsICU & #COVID19 when discussing the associated hyperinflammatory syndrome we are all following closely!

Family integration is an important coping strategy of mothers hospital discharge readiness for #CHD surgeries. Peifen Poh RN Jan Hau et al 🇸🇬: ow.ly/ZOdc50zE46w #PedsICU #PedsCICU #cardiacsurgery PC4 Pediatric Cardiac Critical Care Consortium SCCM WFPICCS PCICS

Yep, use #ICUNutrition for adult nutrition posts and #PICUNutrition for #PedsICU posts Because #NutritionMatters

With continued refinements in ultrasound protocols, measurement of quadriceps femoris (among other imaging techniques and sites) is emerging as a potentially usable biomarker for changes in skeletal muscle in nutritional intervention trials in critically ill adults & children.

Every 1% loss of quadriceps muscle layer thickness (QMLT) over the 1st wk of critical illness was a/w 5% higher odds of 60-d mortality. SARF-F, CFS and m-NUTRIC are a/w QMLT & 60-d mortality. Shah Daren Heyland clinicalnutritionjournal.com/article/S0261-…

Functional outcomes and quality-of-life are what matters most to children and families during recovery from critical illness. Read what they have to say. #PedsICU aacnjournals.org/ajcconline/art…

Just out: our systematic review and meta-analysis showed no benefit of routine PPIs/H2As against GI bleed in the PICU. Work led by medical student Dominic Yao. Jan Hau

Review of Outcomes Used in Nutrition Trials in Pediatric Critical Care onlinelibrary.wiley.com/doi/10.1002/jp…

Read in #JPEN early view: Evidence‐Based Practices Reduce Necrotizing Enterocolitis and Improve Nutrition Outcomes in Very Low‐Birth‐Weight Infants. ow.ly/814w50D5iJB

Jerry J Zimmerman SCCM Jose L. Pascual, MD, PhD, FRCS(C), FACS, FCCM Pediatric Critical Care Medicine Thank you! This was very much Chengsi's conception and work with support from Jan Hau . Building and translating from the adult literature allowed her to demonstrate: 1/n

For my #PedsICU nutrition interested colleagues, These are registered hashtags to help us in future analyses of our #SoMe work . Please use these ➕ #PedsICU as applicable. #PICUNutrition #NutritionMatters #WhatRDsDo Our adult colleagues are using #ICUNutrition