Enteral nutrition in the hemodynamically unstable critically

Medicina intensiva · Jan 2015

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Enteral nutrition in the hemodynamically unstable critically ill patient.

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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- J L Flordelís Lasierra, J L Pérez-Vela, and J C Montejo González.
- Servicio de Medicina Intensiva, Hospital Universitario Severo Ochoa, Leganés, Madrid, España. Electronic address: makalyconru@hotmail.com.
- Med Intensiva. 2015 Jan 1; 39 (1): 40-8.
AbstractThe 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.Copyright © 2014 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.

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Enteral nutrition in the hemodynamically unstable critically ill patient.

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