Critical Care Specialist Group - Micronutrients in Critical Care

Hosted by Critical Care Specialist Group

Join us to learn more about micronutrients in critical illness including the evidence base and what to do in practice.

Speakers

Deborah Howland - Specialist Dietitian and Acute Team Leader at Torbay and South Devon NHS Foundation Trust in Torquay, Devon. Deborah will be providing a case study on a patient who was admitted to ICU with an unknown cause for heart failure and the nutritional management of this situation.

More about Deborah - she has worked as a dietitian at Torbay Hospital in various roles since 2004. Deborah started working in ICU alongside my Head and neck cancer role in 2007. Since then, she has watched advances in both treatments for people on ICU and the scope of dietitians. Deborah also has special interests in muscle health, plant-based diets and taste.

Dr Angélique de Man - Associate professor at Amsterdam UMC. Angélique is both intensivist and medical biologist with as domains of expertise in research hyperoxia, vitamin C and micronutrients in critical care setting. In this 30 minutes presentation, Angélique will discuss the most relevant micronutrients for critically ill patients, their main functions and the evidence for their administration in critically ill patients. In addition, she will summarize the most recent recommendations based on the ESPEN micronutrient guidelines.

More about Angélique - she contributed as a co-author to the ESPEN (European Society for Clinical Nutrition and Metabolism) micronutrient guidelines published in 2022 (1). In addition, she is the leader of the micronutrients working group of the ESICM (European Society of Intensive Care Medicine) and member of the ESPEN Micronutrient Special Interest Group. In addition, she is principal investigator of the VITaCCA trial (investigating early, i.v. high-dose vitamin C post-cardiac arrest). Inclusion of patients for this trial was recently completed.

Dr Dhruv Parekh - Associate Professor and Consultant in Critical Care and Respiratory Medicine at the University of Birmingham and University Hospitals Birmingham NHS Foundation Trust. He is Theme Lead for Acute Care Research and Director of the Birmingham NIHR/Wellcome Clinical Research Facility. An overview of Dr Dhruv Parekh's talk will cover: Impact and relevance of vitamin D deficiency in critical illness, from biology to clinical relevance of replacement and review ff current evidence and ongoing trials. Does it matter? Should we replace?

More about Dr Dhruv Parekh - he has devised his own programme of research from discovery science to clinical trials which is based principally around improving the care and outcomes of acute and critically ill patients admitted to hospital with interests in ARDS, lung fibrosis, perioperative inflammation, sepsis and post acute care recovery. He is the Chief Investigator of the UK VITDALIZE arm of the international trial of vitamin D replacement in critical illness.

Dr Helen Cordy - Consultant in Chemical Pathology with Metabolic Medicine and works in Cardiff and Vale UHB. Dr Helen Cordy will be providing "A biochemist's perspective: micronutrients in critical illness". This talk aims to give an overview of micronutrient testing, test interpretation and treatment options. It aims to focus on these tests within the clinical context and interpretation/management in light of the wider clinical picture including case-based examples and limitations with laboratory tests.

More about Dr Helen Cordy - Having trained in laboratory medicine, she is the clinical lead for the point of care testing service. Her clinical work covers lipids, weight management and nutrition. The tier 3 weight management service she works within is well established and offers to see bariatric post-operative patients for long term medical follow-up. She also works with the regional intestinal failure service in South Wales where she advises on biochemical abnormalities and metabolic bone disease management.

Marlies Ostermann is a Professor of Intensive Care Medicine at Guy’s & St Thomas’ Hospital, London. A brief summary of Marlies talk is regarding Patients with severe acute kidney injury who need renal replacement therapy are at high risk of malnutrition, organ failure and mortality. There are several reasons for malnutrition, including inadvertent loss of micronutrients during renal replacement therapy. This talk with cover the data on nutrient losses, important co-factors and current guidance for practice from official societies and networks

More about Marlies - she is also a Director of Research of the Intensive Care Society UK, President-Elect of the Critical Care section of the Royal Society of Medicine and Co-Chair of the KDIGO AKI guideline committee. Her clinical and academic interests include acute kidney injury, renal replacement therapy, extracorporeal organ support, sepsis and nutrition.