Viva 3

A 60 year old man has been transferred to your ICU from another hospital ICU, where he had been admitted 10 days ago with severe pancreatitis and requiring mechanical ventilation. His oral intake was said to be poor during the week leading up to that hospital admission.

1. How would you assess his nutritional state?

The rest of the questions focussed on the route of administration of feeds, calculation of caloric requirements, and the role of immunonutrition.

Disclaimer: the viva stem above may be an original CICM stem, acquired from their publicly available past papers. Or, perhaps it is a slightly altered version of the original CICM stem. Or, it is a completely original viva stem, concocted by the monstrously amoral author of Deranged Physiology for nothing more than his own personal amusement. In either case, because the college do not make the main viva text or marking criteria available, almost everything here has been confabulated. It might sound like a plausible viva and it could be used for the purpose of practice, but all should be aware that it does not represent the "true" canonical CICM viva station.