Asia Ventilation Forum
Asia Ventilation Forum
  • 27
  • 25 163
A lifetime of research on nutrition in critical illness
A lifetime of research on nutrition in critical illness - Professor Daren Heyland
The AVF Podcast: Behind-The-Scenes ICU Stories invites colleagues to share anything and everything on their personal experiences. Expect heart-to-heart discussions on topics that may or may not have been widely described in the medical literature.
In this episode, Dr Daren Heyland shares key takeaways from large-scale randomised trials on critical care nutrition led by him and published in the last year, a culmination of his impressive career. Dr Heyland is a Professor of Medicine and Epidemiology at Queen’s University, Kingston, Ontario Canada. He is trained in internal medicine, critical care medicine, and clinical epidemiology. He currently serves as the Director of the Clinical Evaluation Research Unit at the Kingston General Hospital. Overall, Dr Heyland has published approximately 450 peer-reviewed papers, raised more than $120 million in external grant support, and given more than 350 international presentations.
Issues discussed in this interview:
• What inspired Dr Heyland to do research in nutrition in critical illness
• The RE-ENERGIZE trial on enteral glutamine for burn injuries (NEJM 2022)
• The SUSTAIN CSX trial on high-dose selenium for cardiac surgery (JAMA Surgery 2023)
• The LOVIT trial on intravenous vitamin C for sepsis (NEJM 2022)
• The EFFORT Protein trial on higher protein dosing for critical illness (Lancet 2023)
• Future areas for research in nutrition in critical illness?
• Thoughts on clinical trial designs for the future
• Reflections on Dr Heyland’s life’s work?
Selected further reading:
1. Heyland DK, Wibbenmeyer L, Pollack JA, et al. A randomized trial of enteral glutamine for treatment of burn injuries. N Engl J Med 2022;387:1001-1010.
2. Stoppe C, McDonald B, Meybohm P, et al. Effect of high-dose selenium on postoperative organ dysfunction and mortality in cardiac surgery patients: the SUSTAIN CSX randomized clinical trial. JAMA Surg 2023;158:235-244.
3. Lamontagne F, Masse MH, Menard J, et al. Intravenous vitamin C in adults with sepsis in the intensive care unit. N Engl J Med 2022;386:2387-2398.
4. Heyland DK, Patel J, Compher C, et al. The effect of higher protein dosing in critically ill patients with high nutritional risk (EFFORT Protein): an international, multicentre, pragmatic, registry-based randomised trial. Lancet.2023;401:568-576.
5. Lee ZY, Ortiz-Reyes L, Lew CCH, et al. Intravenous vitamin C monotherapy in critically ill patients: a systematic review and meta-analysis of randomized controlled trials with trial sequential analysis. Ann Intensive Care 2023;13:14.
zhlédnutí: 300

Video

How I mobilise patients in the ICU - Professor Carol Hodgson
zhlédnutí 486Před rokem
The AVF Podcast: ICU Tips & Tricks invites colleagues to share anything and everything on how they deal with various clinical situations. Expect discussions on how experts personalise evidence-based medicine for the patient at the bedside. In this episode, Professor Hodgson discusses the findings and implications of the landmark TEAM study on early active mobilisation during mechanical ventilat...
How we wean patients from mechanical ventilation - Professor John Laffey
zhlédnutí 807Před rokem
The AVF Podcast: ICU Tips & Tricks invites colleagues to share anything and everything on how they deal with various clinical situations. Expect discussions on how experts personalise evidence-based medicine for the patient at the bedside. In this episode, Professor Laffey discusses the findings and implications of the landmark WEAN SAFE study on the epidemiology and outcomes of weaning from in...
How we studied sepsis in Asian ICUs - Dr Andrew Li
zhlédnutí 229Před rokem
The AVF Podcast: Behind-The-Scenes ICU Stories invites colleagues to share anything and everything on their personal experiences. Expect heart-to-heart discussions on topics that may or may not have been widely described in the medical literature. In this episode, Dr Andrew Li discusses MOSAICS II, the largest ever study on sepsis in Asian ICUs, and one that was completed before the COVID-19 pa...
The story of precision medicine in ARDS - Professor Carolyn Calfee
zhlédnutí 435Před rokem
The story of precision medicine in ARDS - Professor Carolyn Calfee The AVF Podcast: Behind-The-Scenes ICU Stories invites colleagues to share anything and everything on their personal experiences. Expect heart-to-heart discussions on topics that may or may not have been widely described in the medical literature. In this episode, Professor Carolyn Calfee shares her journey on and discusses the ...
How I titrate oxygen in the ICU - Professor Paul Young
zhlédnutí 535Před rokem
The AVF Podcast: ICU Tips & Tricks invites colleagues to share anything and everything on how they deal with various clinical situations. Expect discussions on how experts personalise evidence-based medicine for the patient at the bedside. In this episode, Professor Paul Young discusses the evidence behind oxygen targets in the intensive care unit (ICU). Professor Young is Deputy Director and I...
How I provide fluid therapy in sepsis - Professor Anders Perner
zhlédnutí 893Před rokem
The AVF Podcast: ICU Tips & Tricks invites colleagues to share anything and everything on how they deal with various clinical situations. Expect discussions on how experts personalise evidence-based medicine for the patient at the bedside. In this episode, Professor Anders Perner discusses how he provides fluid therapy in patients with sepsis. Professor Perner is a senior staff specialist and p...
How I care for family members of the critically ill - Dr Brenda Pun
zhlédnutí 362Před rokem
The AVF Podcast: ICU Tips & Tricks invites colleagues to share anything and everything on how they deal with various clinical situations. Expect discussions on how experts personalise evidence-based medicine for the patient at the bedside. In this episode, Dr Brenda Pun discusses how healthcare workers should look after family members and loved ones of critically ill patients. Dr Pun is an adva...
How I care for ARDS survivors - Professor Margaret Herridge
zhlédnutí 425Před rokem
The AVF Podcast: ICU Tips & Tricks invites colleagues to share anything and everything on how they deal with various clinical situations. Expect discussions on how experts personalise evidence-based medicine for the patient at the bedside. In this episode, Professor Margaret Herridge discusses what patients and their loved ones go through after surviving ARDS and how we can help them. Dr. Herri...
The future of intensive care - Professor Jean-Louis Vincent
zhlédnutí 1,6KPřed 2 lety
The AVF Podcast: Behind-The-Scenes ICU Stories invites colleagues to share anything and everything on their personal experiences. Expect heart-to-heart discussions on topics that may or may not have been widely described in the medical literature. In this episode, Professor Jean-Louis Vincent paints his vision for the future of intensive care. Professor Vincent is Professor of intensive care me...
Courage in Ukrainian hospitals and ICUs - Dr Maksym Pylypenko
zhlédnutí 245Před 2 lety
The AVF Podcast: Behind-The-Scenes ICU Stories invites colleagues to share anything and everything on their personal experiences. Expect heart-to-heart discussions on topics that may or may not have been widely described in the medical literature. In this episode, Dr Maksym Pylypenko discusses the human impact of the Russia-Ukraine war on intensive care and hospital care. Together with Dr Oleg ...
How I provide kidney-replacement therapy - Professor Stephane Gaudry
zhlédnutí 554Před 2 lety
The AVF Podcast: ICU Tips & Tricks invites colleagues to share anything and everything on how they deal with various clinical situations. Expect discussions on how experts personalise evidence-based medicine for the patient at the bedside. In this episode, Professor Stephane Gaudry discusses his evidence-based approach to kidney-replacement therapy (KRT). Professor Gaudry is a physician in the ...
How to set up a critical care research network - Professor Kathy Rowan
zhlédnutí 173Před 2 lety
The AVF Podcast: Behind-The-Scenes ICU Stories invites colleagues to share anything and everything on their personal experiences. Expect heart-to-heart discussions on topics that may or may not have been widely described in the medical literature. In this episode, Professor Kathy Rowan shares her journey starting and growing one of the world’s most successful critical care research networks, th...
How I ventilate patients with intra-abdominal hypertension - Professor Manu Malbrain
zhlédnutí 1,2KPřed 2 lety
The AVF Podcast: ICU Tips & Tricks invites colleagues to share anything and everything on how they deal with various clinical situations. Expect discussions on how experts personalise evidence-based medicine for the patient at the bedside. In this episode, Professor Manu Malbrain discusses the implications of increased intra-abdominal pressure on mechanical ventilation. Professor Malbrain is Pr...
How to improve quality in your ICU - Dr Jorge Salluh
zhlédnutí 583Před 2 lety
The AVF Podcast: ICU Tips & Tricks invites colleagues to share anything and everything on how they deal with various clinical situations. Expect discussions on how experts personalise evidence-based medicine for the patient at the bedside. In this episode, Dr Jorge Salluh discusses how one can drive quality improvement in the intensive care unit (ICU), both at the local level and in internation...
How I use prone positioning in ARDS - Professor Claude Guerin
zhlédnutí 633Před 2 lety
How I use prone positioning in ARDS - Professor Claude Guerin
Humanitarian, healthcare, and critical care crisis in Afghanistan: Mr Jaffer Shah and Ms Sara Nabil
zhlédnutí 194Před 2 lety
Humanitarian, healthcare, and critical care crisis in Afghanistan: Mr Jaffer Shah and Ms Sara Nabil
Surviving sepsis in 2022 - Professor Mitchell Levy
zhlédnutí 4KPřed 2 lety
Surviving sepsis in 2022 - Professor Mitchell Levy
How I use driving pressure - Professor Marcelo Amato
zhlédnutí 3,3KPřed 2 lety
How I use driving pressure - Professor Marcelo Amato
A doctor in Myanmar - For patients, for country: Anonymous
zhlédnutí 244Před 2 lety
A doctor in Myanmar - For patients, for country: Anonymous
Every Deep-Drawn Breath: Professor Wes Ely
zhlédnutí 404Před 2 lety
Every Deep-Drawn Breath: Professor Wes Ely
NIV and HFNO for acute hypoxaemic respiratory failure - Dr Domenico Luca Grieco
zhlédnutí 574Před 2 lety
NIV and HFNO for acute hypoxaemic respiratory failure - Dr Domenico Luca Grieco
How to teach intensive care across the world: Professor Charles Gomersall
zhlédnutí 292Před 2 lety
How to teach intensive care across the world: Professor Charles Gomersall
Patient autonomy at the end of life in Asian ICUs: Professor Younsuck Koh
zhlédnutí 166Před 2 lety
Patient autonomy at the end of life in Asian ICUs: Professor Younsuck Koh
How I set PEEP in ARDS: Professor Laurent Brochard
zhlédnutí 6KPřed 2 lety
How I set PEEP in ARDS: Professor Laurent Brochard
The challenges of airway management during the pandemic: Professor Sheila Nainan Myatra
zhlédnutí 478Před 2 lety
The challenges of airway management during the pandemic: Professor Sheila Nainan Myatra
How we battled India's second COVID-19 wave: Professor Jigi Divatia
zhlédnutí 365Před 2 lety
How we battled India's second COVID-19 wave: Professor Jigi Divatia

Komentáře

  • @juandanielcaicedoruiz3878
    @juandanielcaicedoruiz3878 Před 2 měsíci

    Excelent talk, so much knowledge! Thanks for the effort

  • @olgaandrianova3027
    @olgaandrianova3027 Před 3 měsíci

    Jason, really great video!

  • @olgaandrianova3027
    @olgaandrianova3027 Před 3 měsíci

    A great interview! Would you have a similar experienced researchers in Business Management Studies?

  • @olgaandrianova3027
    @olgaandrianova3027 Před 3 měsíci

    a fantastic advise on 23:07 -I do not like to be told :-)

  • @user-hm2gb6pm6b
    @user-hm2gb6pm6b Před 3 měsíci

    Evidence Awareness Representative coverage 20% 80% 26 to 300 Staff units .... 100 % Adoption Assessing quality Not an overnight recognition Evidence banner s banners banners and questionnaires ...of participants university across states and union territories Tele medicine evidences .... Respondent Birmingham.... NHS SH

  • @user-hm2gb6pm6b
    @user-hm2gb6pm6b Před 3 měsíci

    Photos Photos Photos Wall photos Tele medicine Banner Banner Banner ????? Peer reviewed database FICCM FCCM MD Tele medicine Tele medicine Tele medicine Challenges of Tele medicine

  • @user-hm2gb6pm6b
    @user-hm2gb6pm6b Před 3 měsíci

    Oak oak oak Canon cameras Canon xerox Tele medicine Tele medicine Tele medicine Hollistic Tele medicine Histamine

  • @user-hm2gb6pm6b
    @user-hm2gb6pm6b Před 3 měsíci

    Tele medicine Tele medicine Tele medicine Response Respondent Response Respondent Tele medicine Tele medicine Rational Tele medicine Syndrome Clinical diagnosis Biomarkers Patterns Mentorship Transcription In telemedicine Outcomes of telemedicine Modern computations Rigourous analysis Homogenous groups FICCM FCCM MD !?

  • @user-hm2gb6pm6b
    @user-hm2gb6pm6b Před 3 měsíci

    _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 00CUBFXXXX

  • @saraosman8509
    @saraosman8509 Před 11 měsíci

    Excellent review

  • @AHavenOfWellness
    @AHavenOfWellness Před rokem

    I suffer from Ovarian Cancer and seeking the best help please I would love to chat with you to help me please!!

  • @user-ss2ih7hh4q
    @user-ss2ih7hh4q Před rokem

    Make simple to understand .

  • @bga2799
    @bga2799 Před rokem

    Awesome content!!

  • @drliksza
    @drliksza Před rokem

    WHAT A GREAT LESSON FORM PROF MANU! THANK YOU SO MUCH. THIS CHANEL IS A GEM FOR FREE!!!

  • @Wahrgarble
    @Wahrgarble Před rokem

    I’m glad that there is a video and discussion about end of life care in Asian countries since I only have America’s healthcare system as a point of reference. I was inspired after watching The Farewell, where a Chinese-American character navigates how her family hides the grandmother’s terminal diagnosis from the grandmother herself, to compare and contrast how different societies handle these issues from an ethical standpoint. I see that Korea has a similar attitude to America when it comes to patient autonomy and the implementation of advanced directives. And while the patient’s decision still takes priority, the typical Korean patient tends to hold the opinion of family members in high regard, even considering factors such as medical expenses. Where I see a cultural difference is when patients defer decisions to the family, but then the tendency to be indirect and reluctant to discuss subjects such as death obfuscates what the patient truly desires for themselves. However, across different cultures it’s never that simple to talk about grim subjects such as death with family members. Perhaps the real differences are written in medical law with the nuances that allow or disallow certain practices between countries. Understandably, it must have been difficult to handle the surges in COVID-19 patients and balance not only physical ICU beds, but the quality of care that can be given to each individual patient. In an emergency situation with strained manpower and limited resources, snap decisions have to be made which can forgo typical procedure. Some patients have to be turned away if their symptoms are too mild, while some families do not even know about the status of their loved one as beds are prepared and cleared for patients in acute respiratory distress. In these types of situations, I can see how each of the medical ethics principles are upheld, but abbreviated. Even if some patients are turned away from a medical facility, beneficence and non-maleficence are still in consideration, but with a higher priority for acutely ill patients. For autonomy, consent is often implied. Justice is the principle that is emphasized in emergencies, which can create disagreements between caregivers and family members. While a physician can declare a patient dead based on certain criteria, the family may disagree and fight to keep that patient on the ventilator. Then comes the discussion about the futility of treatment, the need to create more space for other incoming patients, and navigating the family’s reactions, emotions, and need for cooperation. I agree with Dr. Younsuck Koh that one should cautiously bring up the topic of end of life care in the first meeting with the family to set the tone, manage expectations, and plan for the future. It is arguably easier to discuss the withholding and withdrawal of medical intervention since there tends to be a discrete cutoff for what we consider alive and deceased than to discuss euthanasia and physician assisted suicide. I am curious about how other countries regard these two topics, especially in Asia.

  • @undisachahilu90
    @undisachahilu90 Před rokem

    The video is mute or its just me?

  • @pipetius
    @pipetius Před rokem

    Excellent discussion, thank you!

  • @gabmor7779
    @gabmor7779 Před rokem

    If constant transpulmonary pressure doesnt cause damage, aprv should be less damaging to the alveoli?

    • @ronaldshiffman9171
      @ronaldshiffman9171 Před 11 měsíci

      APRV should be eliminated from use. Conventional ventilation is much better. Why use a mode shown to be less effective?

  • @theresageiger584
    @theresageiger584 Před rokem

    SOMEONE PLEASE HELP ME PLEASE

  • @theresageiger584
    @theresageiger584 Před rokem

    Stupid natural path gave me studio by carpet now I'm gonna die

  • @theresageiger584
    @theresageiger584 Před rokem

    I have Fungus in my blood

  • @theresageiger584
    @theresageiger584 Před rokem

    I wish I had known

  • @gwood3070
    @gwood3070 Před rokem

    【p】【r】【o】【m】【o】【s】【m】 😒

  • @fatencriticalcare1352

    Good healthy

  • @med8523
    @med8523 Před 2 lety

    Thank you for this video. I appreciate the efforts to make this important talk happening.

  • @petrpiza3110
    @petrpiza3110 Před 2 lety

    Could you write down a link about RM a setting peep?

  • @asione6895
    @asione6895 Před 2 lety

    Thank you, good points. We generally use crrt in our patients with hemodynamic unstabil

  • @stryderhiryu8
    @stryderhiryu8 Před 2 lety

    Thank you for this Video and the Interview of Sir Dr.... to get the first hand experience and opinion... I am a nurse by profession... but because of surging patient.... it is difficult to always rely on doctor's order.. but rather to act fast independently. Thank you and I hope you do more informative videos like these. 👏👏👏 😊

  • @butchgemarino7800
    @butchgemarino7800 Před 2 lety

    We're excited for the what's next in critical care. So many questions left unanswered in the guidelines and we're thrilled to see what the future holds in our practice. Great discussion, Sir Jep and Professor Levy!

  • @samirbayat8146
    @samirbayat8146 Před 2 lety

    Thanks from AVF

  • @maheshaliasboya
    @maheshaliasboya Před 2 lety

    loved it.

  • @zeyadaljeboori6507
    @zeyadaljeboori6507 Před 2 lety

    Very confusing!

  • @robertolarios7561
    @robertolarios7561 Před 2 lety

    Wonderful talk

  • @GustavoMontanha
    @GustavoMontanha Před 2 lety

    great conversation - very knowledgeable from both! Loved it!

  • @rachelrrt69
    @rachelrrt69 Před 2 lety

    Very interesting 👌

  • @rm8910
    @rm8910 Před 2 lety

    Nice

  • @manishironmandangi
    @manishironmandangi Před 2 lety

    Thank you Sir for sharing it

  • @manishironmandangi
    @manishironmandangi Před 2 lety

    Very informative maam

  • @yaseenarabi5324
    @yaseenarabi5324 Před 2 lety

    And thank you, Jason, for this intiative

    • @jasonphua4906
      @jasonphua4906 Před 2 lety

      Thanks Yaseen. Looking forward to more episodes soon!

  • @yaseenarabi5324
    @yaseenarabi5324 Před 2 lety

    Thank you Prof Divitia for this insigtful video

  • @younsuckkoh3084
    @younsuckkoh3084 Před 2 lety

    Quite moving, Jigi. Thanks Jason and Jigi to provide us this valuble talk.

    • @jasonphua4906
      @jasonphua4906 Před 2 lety

      Thanks Younsuck. Really grateful to Jigi for sharing his thoughts with us.