| Early administration of enteral nutrients in critically ill patients. | |
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MedLine Citation:
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PMID: 7743427 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Aggressive nutrition intervention has become an essential component in the therapy of critically ill patients. Early provision of enteral nutrients within 24 hours of injury or surgery appears optimal and is associated with benefits such as a reduction in septic complications, a decrease in the hypermetabolic response to severe burn injury, and improved wound healing. Early enteral nutrient administration has a significant impact on preserving gastrointestinal integrity and barrier function and maintaining intestinal immunologic defenses, which may have a role in decreasing infectious outcomes in critically ill patients. Establishing an enteral access becomes a priority with early feeding. Small intestine feeding usually is preferred to gastric nutrient administration, yet some declare biologic superiority with intragastric feedings. The optimal enteral product for use in critically ill patients remains unknown. Key nutrients, such as glutamine, arginine, fiber, and alternative lipids, may have potential benefits and need to be considered when formulating an enteral regimen in this patient population. |
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Authors:
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R A Romito |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: AACN clinical issues Volume: 6 ISSN: 1079-0713 ISO Abbreviation: AACN Clin Issues Publication Date: 1995 May |
Date Detail:
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Created Date: 1995-06-15 Completed Date: 1995-06-15 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 9508191 Medline TA: AACN Clin Issues Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 242-56 Citation Subset: N |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Critical Illness
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therapy* Enteral Nutrition / methods*, nursing Humans Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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