Jpen Parenter Enter
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Jpen Parenter Enter · Mar 2000
Randomized Controlled Trial Clinical TrialIncidence of gastroesophageal reflux and aspiration in mechanically ventilated patients using small-bore nasogastric tubes.
Use of a large-bore nasogastric tube (NGT) and patient position are considered key factors in promoting gastroesophageal reflux (GER) and pulmonary aspiration in critically ill patients. The objective of this study was to determine the incidence of GER and pulmonary aspiration of gastric contents in mechanically ventilated (MV) patients using small-bore NGTs. ⋯ GER and aspiration of gastric contents were not detected in MV patients using small-bore NGTs and may be a simple measure to prevent ventilator-associated pneumonia.
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Jpen Parenter Enter · Mar 2000
Arginine-supplemented diet decreases expression of inflammatory cytokines and improves survival in burned rats.
We examined whether the expression of inflammatory cytokines in organs was influenced by the enteral diet supplemented with arginine in burned rats. ⋯ The data suggest that dietary arginine supplementation decreases the mRNA expression of inflammatory cytokines in organs and improves the survival rate after thermal injury.