Volume 51, Number 6
A recent observational study conducted in 5 tertiary hospitals in Singapore examined the characteristics, treatment modalities, clinical outcomes and nutrition interventions of critically ill patients with COVID-19 in the intensive care unit.
A big proportion did not receive adequate calories and protein, and late enteral nutrition (>36 hours) was associated with higher hospital mortality. The high obesity prevalence, frequent usage of neuromuscular blockade, prone therapy, and dialysis also had considerable implications for the nutritional care of these patients.
More audits should be conducted to refine nutritional interventions and guidelines for this evolving disease.
Editorial
Challenges and considerations in delivering nutritional therapy in the ICU during COVID-19 pandemic
Coronavirus disease 2019 (COVID-19) has created unprecedented challenges for healthcare workers in Singapore and across the world. Providing clinical nutrition and metabolic care to patients with COVID-19 has been highly challenging. In this issue of the Annals, Lew et al.1 reported the results of a multicentre retrospective observational study...
Editorial
Out-of-hospital cardiac arrest in Singapore: Can we do better?
Cardiac arrests are unpredictable events that frequently result in death or significant residual morbidity among survivors. These sudden events affect not only the individual, but are understandably also significant life events and stressors for the family and friends. As such, the impact of cardiac arrests is felt on a...
Original Article
Nutrition support practices for critically ill patients with severe acute respiratory syndrome coronavirus-2: A multicentre observational study in Singapore
Within 3 weeks of the World Health Organization declaring the COVID-19 pandemic on 11 March 2020, the Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (ASPEN) developed a set of nutrition guidelines that addresses issues on nutrition assessment; timing and feeding route; caloric...
Original Article
Inter-hospital trends of post-resuscitation interventions and outcomes of out-of-hospital cardiac arrest in Singapore
Out-of-hospital cardiac arrest (OHCA) have notoriously been a medical issue with high morbidity and mortality.1 It is a multifaceted problem with a multitude of aetiologies,2 and as such various factors influence the outcome of OHCA patients.
The management of OHCA can generally be outlined by the “Chain of Survival”, a...
Original Article
Epidemiological trends and outcomes of children with aural foreign bodies in Singapore
Aural foreign bodies (FBs) commonly present to the emergency department (ED) worldwide. Children represent the majority of the population, believed to be due to their inquisitive minds and experimental nature.1 Aetiologies for aural FBs include accidental or intentional insertion of FBs into body orifices, ear irritation caused by rhinitis...
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Original Article
