Create a ppt for 'Total Parenteral Nutrition in Critical Illness- When to start?'. It is for a national conference of intensivists. It should take info from standard books like Miller's and Marino's and Washington'. And ESPEN, ASPEN guidelines. also, it should be properly mentioned what recommendations has been taken from where. These sources can be used along with standard texts. Total Parenteral Nutrition - StatPearls - NCBI Bookshelf https://share.google/XZyJzvb568WZ3BrH7 Critical care nutrition - EMCrit Project https://share.google/DoKWAIdmFSl26uU9a DRSC | Healthcare Professionals | Pharmaceutical Companies in Delhi https://share.google/m2iIQDsdGMF3xe4Jz TPN in Post-Surgical Patients: Why It’s Needed and How It Helps https://share.google/qwGernCWp7GXlZLuT Parenteral nutrition in the ICU - ScienceDirect https://share.google/r5ywzMv3dPosdNrXW ESPEN_practical_and_partially_revised_guideline_Clinical_nutrition_in_the_intensive_care_unit.pdf https://share.google/0S0W4VQEXnrvooAlq
total parenteral nutrition critical illness when to start ICU timing
parenteral nutrition critical illness ICU timing
ESPEN ASPEN guidelines total parenteral nutrition timing ICU critical illness 2023 2024 recommendations when to start
ESPEN guidelines nutrition intensive care 2023
Can you give the ppt
TPN Critical Illness When to Start
Presentation · PPTX
| Slide | Content | Sources |
|---|---|---|
| 1 | Title slide — TPN in Critical Illness: When to Start? | — |
| 2 | Agenda / Overview | — |
| 3 | Why Nutrition Matters in Critical Illness — metabolic stress, catabolism, gut-barrier failure | Mulholland & Greenfield's Surgery; Sabiston Surgery |
| 4 | EN vs TPN — Hierarchy of Routes — always prefer EN; when EN fails or is contraindicated | ESPEN 2023; ASPEN/SCCM 2016; Fishman's Pulmonary Diseases |
| 5 | Nutritional Risk Assessment — NRS-2002 & NUTRIC Score tables | ASPEN/SCCM 2016; Mulholland; Sabiston |
| 6 | When to Start TPN: The Core Question — the 3-risk-group framework (decision flowchart) | ESPEN 2023 (Singer et al., PMID 37517372); ASPEN/SCCM 2016 |
| 7 | ESPEN 2023 Recommendations — early TPN for high-risk; delay 7 days for low-risk | ESPEN 2023 Practical Guideline (Clin Nutr, Sep 2023) |
| 8 | ASPEN/SCCM 2016 Recommendations — 7-day wait for low-risk; early for malnourished | ASPEN/SCCM Guidelines 2016 |
| 9 | Head-to-Head: ESPEN vs ASPEN comparison table | Both guidelines |
| 10 | Special Populations — post-surgical, obese, burns, vasopressors, refeeding syndrome | Sabiston; Mulholland; Fishman's; Goldman-Cecil |
| 11 | Caloric & Protein Targets in TPN — 20–25 kcal/kg, 1.2–2.0 g/kg protein | ESPEN 2023; ASPEN/SCCM; Mulholland |
| 12 | Complications & Monitoring — hyperglycemia, PNALD, CLABSI, electrolytes | Sabiston Surgery; Goldman-Cecil |
| 13 | Practical Decision Algorithm — step-by-step flowchart graphic | ESPEN 2023; ASPEN/SCCM 2016 |
| 14 | Miller's / Marino's / Washington Perspective — textbook synthesis | Miller's Anesthesia (10e); Washington Manual; Goldman-Cecil |
| 15 | Summary & Take-Home Messages — 5 key pearls | All sources |
| 16 | References — full citation list (ESPEN, ASPEN, PMID, textbooks) | All |