How to Design Total Parenteral Nutrition 

Thanks for the feedback, just finishing a long format video on the trauma assessment, should be out this weekend!

Thanks so much for the feedback!!

I think I could do a short video on that, for sure thanks for your feedback! Good luck with your studies

Absolutely! Happy this helped!

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?

@@citizensurgeon sir, chapter no. 11 of love and bailey , 27 edition

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

Tahir! Thanks for the feedback! Let me know if there is another topic you’re interested in learning about!!

So happy you enjoyed it!!

Working on it! What would be most helpful? Bullet points, questions, questions/explanations, etc?

@@citizensurgeon Questions/explanations. You have a good explanation of the hard core content

@@kangumejustusamooti4915 thanks so much that means a lot

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!

Thank you for the suggestion, I'll have these put together and out shortly for each video!

Ha! Dang! Thank you! That’s embarrassing, hopefully the concepts are clear :)

@@citizensurgeon I learned more in this video than most textbook chapters have done for me so far. Absolute payoff thank you

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!

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/

Good catch!!

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

Thank you!