Document Detail

Early administration of enteral nutrients in critically ill patients.
MedLine Citation:
PMID:  7743427     Owner:  NLM     Status:  MEDLINE    
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.
R A Romito
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  AACN clinical issues     Volume:  6     ISSN:  1079-0713     ISO Abbreviation:  AACN Clin Issues     Publication Date:  1995 May 
Date Detail:
Created Date:  1995-06-15     Completed Date:  1995-06-15     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9508191     Medline TA:  AACN Clin Issues     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  242-56     Citation Subset:  N    
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MeSH Terms
Critical Illness / therapy*
Enteral Nutrition / methods*,  nursing
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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