Introducing Nutrition Management 2.0

A comprehensive, guideline-driven approach that unites nutritional assessments with technological innovation to prevent feeding-related complications in critical care.

Nutrition Management 2.0

Key Principles

Feeding Tube Positioning
Prevention of Gastric Aspiration
Optimal Feeding & Compensation Plan
Real-time Monitoring

Hospital nutrition, particularly in the ICU, where accurate care is often a matter of life and death, has not been at the forefront of clinical education. However, research has shown evidence of the underlying challenges concerning nutrition-related in-hospital complications. We are advancing intensive care nutrition therapy by focusing on greater precision, personalization, and safety.

smART+

Redefining Scoring Systems

Current scoring systems do not take into account feeding-related elements which actively impact critically ill patients.

Learn more
Nutrition Management 2.0

Creating a New Paradigm

Optimal nutrition therapy is a key component of critical care. Yet ICU patients are routinely subjected to the risks of malnutrition, tube malposition and pneumonia. Prof. Pierre Singer explains how Nutrition Management 2.0 is changing the traditional approach and provides a new and comprehensive nutritional therapy practice.

Opinions from the ICU

“The gap between the nutritional needs, the prescription and the nutritional administration is very large, resulting in inadequate medical nutrition therapy.

Personalized nutrition should associate the best evaluation of the patient’s needs, an appropriate prescription and an optimal use of enteral and parenteral routes of administration. Monitoring of this administration is key for a high efficiency evaluation.”

Prof. Pierre Singer, Beilinson Hospital, Rabin Medical Center, Israel.
Selection of Optimal Feeding Formula The system automatically calculates the optimal enteral nutrition formula plan, based on the patient’s resting energy expenditure paired with a vast database. According to the patient’s individual needs, it recommends the addition of protein supplements in order to aid with recovery. Learn More Reflux and Reduction of Aspiration Reflux events in ventilated patients pose a risk for aspiration and subsequent pneumonia. Reflux events are being detected and recorded in real-time through the use of a sensor-based feeding tube. The automatic inflation of a balloon and GRV pressure release reduce the risk for gastric aspiration. Learn More Calculating Patient Energy Needs Automated and continuous calculations of patients’ resting energy expenditure reduce the risk posed by errors in manual calculations and establish a safe and reliable basis for optimal nutrition plans. The system automatically determines the optimal nutritional target for each patient. Learn More Feeding Tube Positioning A sensor-based feeding tube is designed to assist in accurately positioning the tube within the stomach. This aims to ensure correct placement, while minimizing the risk of adverse events during the process. Additionally, the system automatically halts feeding and alerts staff if the tube's position changes, enhancing patient safety. Learn More GRV Assessment and Release Reflux events are continuously monitored, and their severity is potentially mitigated by the immediate evacuation of gastric residual volumes to decrease gastric pressure. The system is designed to automatically compensate for nutrition lost during GRV release, aiming to minimize the risk of underfeeding. Learn More Detection of Acute Kidney Injury Urine output rate is monitored in real-time and clinicians are alerted when the rate decreases or /increases to a dangerous level. In addition, the clinician will be alerted if the system predicts a decrease in the urine flow rate below a specific level in accordance with KDIGO guidelines for Acute Kidney Injury. Learn More Controlled Bolus To maintain integrity of the feeding tube, the system automatically flushes the tube with 5ml of water once per hour. Boluses, which have been linked to massive reflux events, can be administered via syringe and are delivered evenly without causing a risk for reflux events. Learn More