Flordelís Lasierra JL, Pérez-Vela JL, Montejo González JC. Enteral nutrition in the hemodynamically unstable critically ill patient.
Med Intensiva 2014;
39:40-8. [PMID:
24907000 DOI:
10.1016/j.medin.2014.04.002]
[Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2014] [Revised: 03/25/2014] [Accepted: 04/04/2014] [Indexed: 12/15/2022]
Abstract
The benefit of enteral nutrition in critically ill patients has been demonstrated by several studies, especially when it is started early, in the first 24-48h of stay in the Intensive Care Unit, and this practice is currently advised by the main clinical guidelines. The start of enteral nutrition is controversial in patients with hemodynamic failure, since it may trigger intestinal ischemia. However, there are data from experimental studies in animals, as well as from observational studies in humans that allow for hypotheses regarding its beneficial effect and safety. Interventional clinical trials are needed to confirm these findings.
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