Endogenous Energy Production in Critically Ill Patients

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorKarolinska University Hospital

About this trial

The aim of this study is to investigate when critically ill patients transition from a non-suppressible catabolism to a normal response to feeding.

Endogenous production of glucose, fat and protein will be studied on a minimum of two occasions in mechanically ventilated ICU patients, in a fasted state and during parenteral nutrition. Substrate kinetics are estimated by a tracer dilution method using infusions of isotopically labeled glucose, glycerol and phenylalanine. Blood sampling for metabolomics analysis will be performed to elucidate potential biomarkers indicating an anabolic response to nutrition.

Eligibility criteria

Qualifiers

≥18 years old and admitted to the ICU

Invasive mechanical ventilation

Arterial and central line in situ

Expected to remain in ICU >72 hours

Disqualifiers

Lack of informed consent by patient/next of kin

Liver transplant

Acute or acute on chronic liver failure

Cirrhosis

Trial design

Treatments tested in this trial

  • Stable isotope tracers
  • Parenteral nutrition

Treatment groups

40 Participants
are divided into 2 treatment groups

Sponsors and collaborators