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How to Design Total Parenteral Nutrition

  Рет қаралды 20,483

citizensurgeon

citizensurgeon

Күн бұрын

Пікірлер: 42
@SJ-hd1br
@SJ-hd1br 3 жыл бұрын
Again, thank you so much! You really simplified the information in 30 pages of textbook on this topic.
@ChloeDunIT
@ChloeDunIT 3 жыл бұрын
Thank you for producing this video, you explain things so much better than the text books!
@citizensurgeon
@citizensurgeon 3 жыл бұрын
Thanks for the feedback, just finishing a long format video on the trauma assessment, should be out this weekend!
@Katy_Sato
@Katy_Sato 3 жыл бұрын
Great learning session there sir. Dietitian from Kenya.
@emmym.1524
@emmym.1524 4 ай бұрын
Not a doctor but I’ve been on TPN for 6 years now and just curious about how it works. Good video! Also if anyone watching this has any questions for a long term TPN patient I’d be happy to answer
@MMm-gi5wk
@MMm-gi5wk 2 жыл бұрын
Thanks so much for a great tutorial! I have only discovered your series this afternoon and have already learnt so much! Would you consider a future learning session on albumin and the role of its measurement and when to supplement post-operatively please? Thanks again! :-)
@citizensurgeon
@citizensurgeon 2 жыл бұрын
I think I could do a short video on that, for sure thanks for your feedback! Good luck with your studies
@dr.rekhavarghese5273
@dr.rekhavarghese5273 2 жыл бұрын
Very helpful . Clear and to the point
@citizensurgeon
@citizensurgeon 2 жыл бұрын
Thanks so much for the feedback!!
@dr.alishmehta3104
@dr.alishmehta3104 4 жыл бұрын
Just completed the lecture. It was wonderful. Sir, can we've a lecture on surgical audit. Best wishes from India.
@citizensurgeon
@citizensurgeon 4 жыл бұрын
Alish Mehta thank you Alish! Please let me know what you mean by surgical audit...do you mean how to run an effective M&M?
@dr.alishmehta3104
@dr.alishmehta3104 4 жыл бұрын
@@citizensurgeon sir, chapter no. 11 of love and bailey , 27 edition
@citizensurgeon
@citizensurgeon 4 жыл бұрын
Alish Mehta ok, I’ll check it out, have the book on my shelf ;) let me know if any of the other videos are helpful
@jeenazad2440
@jeenazad2440 3 жыл бұрын
Thank you so much 😊
@citizensurgeon
@citizensurgeon 3 жыл бұрын
Absolutely! Happy this helped!
@tahirfarid2678
@tahirfarid2678 2 жыл бұрын
Awesome 👍 and beautifully explained!
@citizensurgeon
@citizensurgeon 2 жыл бұрын
Tahir! Thanks for the feedback! Let me know if there is another topic you’re interested in learning about!!
@ivanovech791
@ivanovech791 Жыл бұрын
This is so awesome 😊
@citizensurgeon
@citizensurgeon Жыл бұрын
So happy you enjoyed it!!
@maenal-khashashneh5052
@maenal-khashashneh5052 2 жыл бұрын
Thanks , nice work But I think if 1gm of lipid equal 9kcal and with intralipid 10% the volume should be 700 ml . Please could you explain it if l'm wrong
@shylajadeenadayalan605
@shylajadeenadayalan605 3 жыл бұрын
How is protein calculated ? Can u explain ?
@layanmohsen1939
@layanmohsen1939 2 жыл бұрын
in 17:07 , why are the dextrose grams divided by 2440 instead of 633 ml ?
@citizensurgeon
@citizensurgeon 2 жыл бұрын
Remember that to find the percentage of a substance in a solution it’s the amount of that substance divided by the total volume of the solution. So in this case if the total volume is 2440 then the amount of dextrose in this volume will be the percentage of the solution. I hope that is clear!
@mrgfdrttr155
@mrgfdrttr155 2 жыл бұрын
Maybe my math is off, please correct me if so but towards the end isn't 110 ml/hr x 24 hrs ~ 2640 ml ?
@citizensurgeon
@citizensurgeon 2 жыл бұрын
Ha! Dang! Thank you! That’s embarrassing, hopefully the concepts are clear :)
@mrgfdrttr155
@mrgfdrttr155 2 жыл бұрын
@@citizensurgeon I learned more in this video than most textbook chapters have done for me so far. Absolute payoff thank you
@citizensurgeon
@citizensurgeon 2 жыл бұрын
Thanks for the feedback and I’m sorry about the math error, I’m pumped that it was helpful for you! I’ll make a note in the description about the math. Good luck in your studies and if there is a topic you’d like to see let me know!
@kangumejustusamooti4915
@kangumejustusamooti4915 3 жыл бұрын
Do you have a PDFs for self assessment
@citizensurgeon
@citizensurgeon 2 жыл бұрын
Working on it! What would be most helpful? Bullet points, questions, questions/explanations, etc?
@kangumejustusamooti4915
@kangumejustusamooti4915 2 жыл бұрын
@@citizensurgeon Questions/explanations. You have a good explanation of the hard core content
@citizensurgeon
@citizensurgeon 2 жыл бұрын
@@kangumejustusamooti4915 thanks so much that means a lot
@andresraulmalpartida
@andresraulmalpartida Жыл бұрын
If omega -6 suppresses immunity wouldn’t it be anti inflammatory instead of pro inflammatory ?
@citizensurgeon
@citizensurgeon Жыл бұрын
It’s such a great and vexing question and the answer seems to be related to dietary omega six increasing the circulation of arachidonic acid which is proinflammatory. Check out this abstract… Inflammation is a normal process that is part of host defence and tissue healing. However, excessive or unresolved inflammation can lead to uncontrolled tissue damage, pathology and disease. In humans on a Western diet, the omega-6 polyunsaturated fatty acid arachidonic acid (ARA) makes a significant contribution to the fatty acids present in the membrane phospholipids of cells involved in inflammation. ARA is a precursor to a number of potent pro-inflammatory mediators including well described prostaglandins and leukotrienes, which has led to the development of anti-inflammatory pharmaceuticals that target the ARA pathway to successfully control inflammation. Hence, it is commonly believed that increasing dietary intake of the omega-6 fatty acids ARA or its precursor linoleic acid (LA) will increase inflammation. pubmed.ncbi.nlm.nih.gov/29610056/
@kangumejustusamooti4915
@kangumejustusamooti4915 3 жыл бұрын
Self assessment questions
@citizensurgeon
@citizensurgeon 2 жыл бұрын
Thank you for the suggestion, I'll have these put together and out shortly for each video!
@iindiar
@iindiar 7 ай бұрын
it says "electroylte"
@citizensurgeon
@citizensurgeon 7 ай бұрын
Good catch!!
@dramitnehra6758
@dramitnehra6758 Жыл бұрын
But Sir this patient is ICU , I mean the patient should be consider for more than 30 kcal/ kg Sir ????
@citizensurgeon
@citizensurgeon Жыл бұрын
I talk about that, there are different energy requirements based on the severity of illness and the respiratory quotient, the patient may need 40kg/day, also important to recognize the possibility of over feeding
@lovchrib2481
@lovchrib2481 6 ай бұрын
🎉🎉
@citizensurgeon
@citizensurgeon 6 ай бұрын
Thank you!
@user-xk7vh6xm6q
@user-xk7vh6xm6q 11 ай бұрын
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