A dietitian who specializes in critical care nutrition support.
Singapore
Joined April 2019
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How do we feed malnourished critically ill patients? youtu.be/dB7uJ2JqnTc?si=DlMS…
The protein paradox in the ICU - from “more is better” to “less is more”.
youtu.be/2l9wV5DKlSw?si=qJk_…
Recognizing malnutrition in adults with critical illness: Guidance statements from the Global Leadership Initiative on Malnutrition - Clinical Nutrition clinicalnutritionjournal.com…
Dr. Charles Lew retweeted
Rethinking energy & protein provision for critically ill patients
🔌 energy dose
🥩 protein dose
🍽️ learning points & proposed energy/protein provision
🚧 limitations and future directions
Open access #FOAMcc #ICUrehab on @yourICM @ICUnutrition
🔗 bit.ly/4eMfOj6
Dr. Charles Lew retweeted
‼️ Most recent studies have challenged our old believes about how to feed our critically ill patients. Here we provide a guidance about most appropriate feeding strategies in #CriticalCare #Nutrition
@lzyii @ICUnutrition 👇🏽
#icu #nutrition #health #education #FOAMed
Rethinking energy & protein provision for critically ill patients
🔌 energy dose
🥩 protein dose
🍽️ learning points & proposed energy/protein provision
🚧 limitations and future directions
Open access #FOAMcc #ICUrehab on @yourICM @ICUnutrition
🔗 bit.ly/4eMfOj6
Dr. Charles Lew retweeted
Thanks to @CStoppe and Zheng Yii for the invitation to co-author this- it’s a very important retake on how we should approach things
Rethinking energy & protein provision for critically ill patients
🔌 energy dose
🥩 protein dose
🍽️ learning points & proposed energy/protein provision
🚧 limitations and future directions
Open access #FOAMcc #ICUrehab on @yourICM @ICUnutrition
🔗 bit.ly/4eMfOj6
Shared insights on a paradigm shift in feeding malnourished critically ill patients: more isn’t better! Early high energy and protein intake may be harmful. And…to have shared the stage with giants: Emma Ridley @ICUnutrition Zudin Puthucheary @Zudin_P
@ApicsOfficial
Excellent opportunity to present key evidence on safe enteral feeding during the acute phase of critical illness at @ApicsOfficial for the Chinese Society of Critical Care Medicine. Stay tuned for the upcoming paper in SMJ!”
So honoured to have invited A/Prof Emma Ridley @ICUnutrition to grace the SHARE (Dietitian) session at @ApicsOfficial where local dietitians share about their works within Singapore.
@alvintheD
Dr. Charles Lew retweeted
Protein provision during critical illness - The Lancet thelancet.com/journals/lance…
#health #protein #time #medicaleducation #criticalcare @lancet
Dr. Charles Lew retweeted
‘PRECISe’ enough to end the quest for certainty?
💡 The resulting data demonstrated that early, high-protein intakes do not sign. improve quality of life
Actual status & discussions here:
👉 pubmed.ncbi.nlm.nih.gov/3915…
👉thelancet.com/journals/lance…
#icu #health #medicine #protein
Dr. Charles Lew retweeted
Great to have some multidisciplinary colleagues in the room too @tomrollinsonPT
A/Prof Emma Ridley @ICUnutrition on the challenges of nutrition in critical illness
Lack of large scale RCTs that show benefit, ? potential for harm - doesn’t mean nutrition not important - consider timing of interventions & mechanisms
Great #MDT session @ApicsOfficial
Dr. Charles Lew retweeted
Updated Protein SRMA in Critical illness
23 RCTs
Protein: 1.5 vs 0.9 g/kg/d, Energy: ≈
-Overall mortality (GRADE: low) and other clinical outcomes: ≈
-In AKI: ↑ mortality (GRADE: high; NNH=7)
-Higher protein+early phy rehab (in non-AKI): need studies
rdcu.be/dvlgd
Dr. Charles Lew retweeted
Exciting step towards #precisionmedicine! Notz et al identified in a re-analysis of a selenium #RCT, subgroups of treatment responders. Baseline characteristics of these included impaired renal function, selenium deficiency & submaximal GPx3 activity.
#nutrition #science #icu
Dr. Charles Lew retweeted
Excellent talk about recent evidence in #ICUNutrition by @AileenHill_ICU. What did we learn despite neutral results & how to proceed?
✔️look at patients with AKI
✔️ramp up nutrition progressively
✔️nutrition risk matters
✔️… we learned a lot!
#nutrition #protein #ICU #team
Dr. Charles Lew retweeted
A Comparison of High and Usual Protein Dosing in Critically ... : Critical Care Medicine journals.lww.com/ccmjournal/…
Dr. Charles Lew retweeted
All you need to know about “Nutrition support for patients on mechanical circulatory... : Great leadership by @RD_CV_TxpMCS and @EllenDresen available in Current Opinion in Anesthesiology journals.lww.com/co-anesthes…
#MedEd
#Eras #ErasCardiac #nutrition #dietitian – at Arluno, Lombardia
MDPI has done it again! 😂amazing! Simply amazing!
Fake review @MDPIOpenAccess ☢️
Special Issue @Processes_MDPI with 28 paper published:
Guest Editors 𝗝𝗼𝗰𝗵𝗲𝗻 𝗦𝘁𝗿𝘂𝗯𝗲 and 𝗔𝘅𝗲𝗹 𝗦𝗰𝗵𝗺𝗶𝗱𝘁 ⬇️
➡️ Jochen Strube is coautor of 27 papers 🤡
➡️ Axel Schmidt is coautor of 16 papers 🤥
mdpi.com/journal/processes/s…
