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October 16-20, 2010 San Diego, CA Home Abstract Archive Search Abstracts 2010 Session Grid 2010 Meeting Website Policy Statements ASA Website Feedback 
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A1119
October 15, 2007 9:00 AM - 11:00 AM Room Hall D, Area D, |
| Use of Personal Digital Assistant for Managing Artificial Nutrition in Intensive Care Unit |
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Yassin Attof, M.D., Mohamed Hachemi, M.D., Maxime Cannesson, M.D., Cecile Chambrier, M.D., Jean Jacques Lehot, M.D., Ph.D. Hospices Civils de Lyon, Department of Anesthesiology and Intensive Care, Louis Pradel Hospital, Claude Bernard Lyon 1 University, Lyon, France |
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Background and Goal of Study The aim of our study was to assess the effect of NutriPDA, a personal digital assistant (PDA)-based clinical decision-support system (CDSS) for the management of artificial nutrition. A CDSS was developed and implemented on a handheld computer for use in the ICU after cardiovascular and thoracic surgery. System impact was assessed in a prospective “before/after” cohort trial. Materials and Methods After informed consent we studied 61 patients in the postcardiovascular and thoracic surgery ICU (length of stay > 8 days). Patients were divided into two groups (before and after the use of NutriPDA: Group A: 32 patients (4-month period in 2005); group B: 29 patients (4-month period in 2006). Analysis of variance (p< 0.05) was performed to test difference between groups. Results and Discussions There were no significant differences in anthropometric and clinical parameters between the 2 groups. Energetic intakes were < 80% of basal energetic expenditures in 21% and 1% of patient, respectively (p<0.01). Caloric and nitrogen intakes were beyond international recommendation in the Group A: 20 ± 7 kcal/kg/d (mean ± SD), 104 ± 33 mg/kg/d, but not in the Group B: 26 ± 4 kcal/kg/d, 196 ± 61 mg/kg/d (p<0.01). Conclusion(s) NutriPDA was found to be able to optimize artificial nutrition by improving caloric intake in ICU. This new software has potential clinical applications. References Heyland, et al. Canadian clinical practice guidelines for nutrition support in mechanically ventilated, critically ill adult patients. J Parenter Enteral Nutr 27(5): 355-73.[figure1] Anesthesiology 2007; 107: A1119 |
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