Chengsi

PICU/NICU dietitian, PhD. Research interests include nutrition, muscle and body conpostion, function.

[Ann-Marie Brown PhD-ACPNP 🟧 @brownam130]

For my #PedsICU nutrition interested colleagues,

These are registered hashtags to help us in future analyses of our #SoMe work . Please use these ➕ #PedsICU as applicable.

#PICUNutrition
#NutritionMatters
#WhatRDsDo

Our adult colleagues are using #ICUNutrition

[Chengsi @ChengsiRD]

@Zudin_P @jerjohzimm @SCCM @SCCMPresident @PedCritCareMed @leejanhau @karen_choong @SapnaKmd @NileshMehtaMD Thank you for tweetorial! Couldn't have done it without the guidance of @Zudin_P and @leejanhau. I look forward to more studies using these multimodal approaches and long term outcomes to tell the survivorship story.
#PedsICU

[Zudin @Zudin_P]

@jerjohzimm @SCCM @SCCMPresident @PedCritCareMed Thank you! This was very much @ChengsiRD's conception and work with support from @leejanhau . Building and translating from the adult literature allowed her to demonstrate: 1/n

[Chengsi @ChengsiRD]

@Zudin_P @tchen383 @BridgingICUGap @einsteinmedicin @ats_wicc @SCCM @karen_choong Thank you for the shout-out @Zudin_P! Hope to share our results soon. Also learnt much from @karen_choong, a #pedsicu great in early mobilization and functional outcome.

[ASPEN @ASPEN_nutrition]

Read in #JPEN early view: Evidence‐Based Practices Reduce Necrotizing Enterocolitis and Improve Nutrition Outcomes in Very Low‐Birth‐Weight Infants. https://t.co/KIeuL4JdPn

[Ann-Marie Brown PhD-ACPNP 🟧 @brownam130]

Review of Outcomes Used in Nutrition Trials in Pediatric Critical Care https://t.co/1B7ZSKSakv

[Chengsi @ChengsiRD]

Just out: our systematic review and meta-analysis showed no benefit of routine PPIs/H2As against GI bleed in the PICU. Work led by medical student Dominic Yao.
@leejanhau

[Ivan D. Florez, MD, MSc, PhD @IvanD_Florez]

Reassessing the Use of Proton Pump Inhibitors and Histamine-2 Antagonists in Critically Ill Children: A Systematic Review and Meta-Analysis https://t.co/nLYFHL7PkO

[Karen Choong @karen_choong]

Functional outcomes and quality-of-life are what matters most to children and families during recovery from critical illness. Read what they have to say. #PedsICU https://t.co/scCUXczeYF

[Lee Zheng Yii @lzyii]

Every 1% loss of quadriceps muscle layer thickness (QMLT) over the 1st wk of critical illness was a/w 5% higher odds of 60-d mortality. SARF-F, CFS and m-NUTRIC are a/w QMLT & 60-d mortality.
@ShahOneer
@DarenHeyland
https://t.co/acS6MpTgJ2

[Nilesh Mehta @NileshMehtaMD]

With continued refinements in ultrasound protocols, measurement of quadriceps femoris (among other imaging techniques and sites) is emerging as a potentially usable biomarker for changes in skeletal muscle in nutritional intervention trials in critically ill adults & children.

[Ann-Marie Brown PhD-ACPNP 🟧 @brownam130]

Yep, use #ICUNutrition for adult nutrition posts and #PICUNutrition for #PedsICU posts

Because #NutritionMatters

[Pediatric Critical Care Medicine @PedCritCareMed]

Family integration is an important coping strategy of mothers hospital discharge readiness for #CHD surgeries.

@PeifenPoh @leejanhau et al 🇸🇬: https://t.co/DJu5tbxseK

#PedsICU #PedsCICU #cardiacsurgery @pc4quality @SCCM @WFPICCS @PCICS2

[Sapna Kudchadkar, MD, PhD @SapnaKmd]

Spread word! We now have three official hashtags to help curate all #COVID19 updates, papers, discussion related to kids

Please use #PIMSTS (thx @BarneyUoB) in addition to #PedsICU & #COVID19 when discussing the associated hyperinflammatory syndrome we are all following closely!

[ImproveLTO @improvelto]

*NEW* paper on fatigue in #ARDS survivors (n=732)

At 6 mo., 70% had fatigue

By 12mo., 31% had no change + 28% worsened

ICU severity of illness NOT associated w/ fatigue

Research done by @improveLTO & funded by @nih_nhlbi

https://t.co/iN6zdmPwRS

[Sapna Kudchadkar, MD, PhD @SapnaKmd]

Aside from #respiratory, what are top challenges facing #COVID19 pts in stepdown after #ICU?

1. Weakness 🛌
2. #Delirium & new cognitive impairment 🧠
3. #Nutrition nutrition 🍎
4. Isolation - unable to leave rooms, no visitors 😞

#acutePT #OT #SLPeeps #dietitian=INVALUABLE

[A/Prof Emma Ridley @ICUnutrition]

Last week I was fortunate to give a talk on critically ill COVID-19 and nutrition management- here is the link to the recording if you missed it:
https://t.co/KLzVPwC2SR

[Jackie Ong @ongsoomay]

Very proud to have been involved in this piece with int’l #pedsicu colleagues from Italy, South Korea and Canada! #covid19

@srinmurthy99 @NiranjanKissoon @PedCritCareMed @sccm @SickKidsCCM @WFPICCS @paccman_asia

[Critical Care Specialist Group of @BDA_Dietitians @BDACriticalCare]

Critical Care Specialist group guidance on management of nutrition an dietetic services during the COVID-19 pandemic:
https://t.co/4usL41PtHn

A huge thank you to @ellaterblanche & @danni_dietitian for working so hard to bring us this guideline at such a busy time!

[Sapna Kudchadkar, MD, PhD @SapnaKmd]

Recognizing the risk of HCW spread, we have stopped all bedside rounds in the @HopkinsPICU. Unfortunate but necessary changes to our routines in the midst of a pandemic. #covid19 #PedsICU #medtwitter

[Peter Collins @DrPFCollins]

Last year I developed an online course titled Master the Nutrition Care Process (enrolment $395AUD), given the disruption students & dietitians are facing, with the support of previous students, I’ve removed the enrolment fee until the end of June 💙 https://t.co/E22hrVF6rI