• Brandon R Bruns and Rosemary A Kozar.
• R Adams Cowley Shock Trauma Center, University of Maryland, Baltimore, Maryland, USA.
• Nutr Clin Pract. 2016 Feb 1; 31 (1): 14-7.

AbstractInitiating enteral nutrition in the postoperative patient can be challenging. Postoperative ileus and bowel edema, bowel anastomosis, and intra-abdominal pathology contribute to the reluctance and inability to achieve adequate nutrition in this patient population. The addition of vasopressors confounds the difficulties. Clinical data are sparse but suggest that most postoperative patients requiring vasopressor therapy can be safely initiated and advanced on enteral nutrition. Consideration of the vasopressor agent being utilized and its dose is imperative, as are individual patient characteristics. Temporal changes in the dosage should be closely monitored, as increasing doses may reflect worsening clinical status that can be due to intestinal ischemia. Well-designed prospective trials are clearly necessary to address this controversial topic. © 2015 American Society for Parenteral and Enteral Nutrition.

23 keywords...

hide…