Dr. Charles Lew

A dietitian who specializes in critical care nutrition support.

[Dr. Charles Lew @CharlesLew28]

How do we feed malnourished critically ill patients? https://t.co/UZDXpe9LNM

[Dr. Charles Lew @CharlesLew28]

The protein paradox in the ICU - from “more is better” to “less is more”.

https://t.co/j71ivZybpg

[Dr. Charles Lew @CharlesLew28]

@Paul_Wischmeyer @LifeWithoutDiet @brownam130 @nickmmark @TomVargheseJr @Tweet_Nutrition @NutritionNerd @laxswamy @iamyourgasman @NutrioSci @TantamKate No evidence to guide us.

[Dr. Charles Lew @CharlesLew28]

Recognizing malnutrition in adults with critical illness: Guidance statements from the Global Leadership Initiative on Malnutrition - Clinical Nutrition https://t.co/2ci66QM3fe

[Intensive Care Medicine @yourICM]

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
🔗 https://t.co/eVO6Hhkjza

[Christian Stoppe @CStoppe]

‼️ 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

[A/Prof Emma Ridley @ICUnutrition]

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

[Dr. Charles Lew @CharlesLew28]

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

[Dr. Charles Lew @CharlesLew28]

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!”

[Dr. Charles Lew @CharlesLew28]

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

[Critical Care Nutrition @CriticalCareNu1]

Protein provision during critical illness - The Lancet https://t.co/CDGXyCgc7m

#health #protein #time #medicaleducation #criticalcare @lancet

[Christian Stoppe @CStoppe]

‘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:
👉 https://t.co/0dJ65dxNIq
👉https://t.co/gdAQyKk7SM
#icu #health #medicine #protein

[A/Prof Emma Ridley @ICUnutrition]

Great to have some multidisciplinary colleagues in the room too @tomrollinsonPT

[A/Prof Emma Ridley @ICUnutrition]

Excited to be in this line-up at #APICS24 @ApicsOfficial

[Dr. Charles Lew @CharlesLew28]

@JPreiser @ICUnutrition Because the things you do really matter to a lot of researchers, clinicians and more importantly, patients. But to do more, one must have enough rest. Use this chance to recharge. Hugz

[Lee Zheng Yii @lzyii]

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
https://t.co/qXyCwZfEhb

[Christian Stoppe @CStoppe]

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

[Christian Stoppe @CStoppe]

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

[Critical Care Nutrition @CriticalCareNu1]

A Comparison of High and Usual Protein Dosing in Critically ... : Critical Care Medicine https://t.co/MvOQlCIhFG

[Christian Stoppe @CStoppe]

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 https://t.co/uFggR6cDGI
#MedEd
#Eras #ErasCardiac #nutrition #dietitian