Intensive care medicine
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Intensive care medicine · Mar 2017
Review Practice Guideline Meta Analysis Comparative StudyEarly enteral nutrition in critically ill patients: ESICM clinical practice guidelines.
To provide evidence-based guidelines for early enteral nutrition (EEN) during critical illness. ⋯ We suggest using EEN in the majority of critically ill under certain precautions. In the absence of evidence, we suggest delaying EN in critically ill patients with uncontrolled shock, uncontrolled hypoxaemia and acidosis, uncontrolled upper GI bleeding, gastric aspirate >500 ml/6 h, bowel ischaemia, bowel obstruction, abdominal compartment syndrome, and high-output fistula without distal feeding access.