scholarly journals The frequency, risk factors, and complications of gastrointestinal dysfunction during enteral nutrition in critically ill patients

2018 ◽  
Vol Volume 14 ◽  
pp. 385-391 ◽  
Author(s):  
Ayse Gulsah Atasever ◽  
Perihan Ergin ozcan ◽  
Kamber Kasali ◽  
Taner Abdullah ◽  
Gunseli Orhun ◽  
...  
Keyword(s):  
Risk Factors ◽  
Enteral Nutrition ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Gastrointestinal Dysfunction

Long-term Enteral Access in Aspiration-prone Patients

1995 ◽  
Vol 10 (4) ◽  
pp. 179-186 ◽  
Author(s):  
Alex C. Cech ◽  
Jon B. Morris ◽  
James L. Mullen ◽  
Gary W. Crooks
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Enteral Nutrition ◽  
Critically Ill ◽  
Enteral Feeding ◽  
Critically Ill Patients ◽  
Nutrition Support ◽  
Enteral Access ◽  
Enteral Nutrition Support

Aspiration pneumonia is a serious complication of enteral feeding. Many critically ill patients are particularly at risk for aspiration. Few studies have rigorously compared various access devices. Risk factors for aspiration and studies examining aspiration associated with enteral feeding devices are reviewed. We recommend a surgical jejunostomy for all patients at high risk for aspiration who require more than 3 weeks of enteral nutrition support.

scholarly journals Impact of Intravenous Fluids and Enteral Nutrition on the Severity of Gastrointestinal Dysfunction: A Systematic Review and Meta-analysis

2020 ◽  
Vol 6 (1) ◽  
pp. 5-24
Author(s):  
Varsha M. Asrani ◽  
Annabelle Brown ◽  
Ian Bissett ◽  
John A. Windsor
Keyword(s):  
Enteral Nutrition ◽  
Anastomotic Leak ◽  
Critically Ill ◽  
Fluid Resuscitation ◽  
Enteral Feeding ◽  
Critically Ill Patients ◽  
Intravenous Fluid ◽  
Intravenous Fluids ◽  
Gastrointestinal Dysfunction ◽  
The Impact

AbstractIntroductionGastrointestinal dysfunction (GDF) is one of the primary causes of morbidity and mortality in critically ill patients. Intensive care interventions, such as intravenous fluids and enteral feeding, can exacerbate GDF. There exists a paucity of high-quality literature on the interaction between these two modalities (intravenous fluids and enteral feeding) as a combined therapy on its impact on GDF.AimTo review the impact of intravenous fluids and enteral nutrition individually on determinants of gut function and implications in clinical practice.MethodsRandomized controlled trials on intravenous fluids and enteral feeding on GDF were identified by a comprehensive database search of MEDLINE and EMBASE. Extraction of data was conducted for study characteristics, provision of fluids or feeding in both groups and quality of studies was assessed using the Cochrane criteria. A random-effects model was applied to estimate the impact of these interventions across the spectrum of GDF severity.ResultsRestricted/ goal-directed intravenous fluid therapy is likely to reduce ‘mild’ GDF such as vomiting (p = 0.03) compared to a standard/ liberal intravenous fluid regime. Enterally fed patients experienced increased episodes of vomiting (p = <0.01) but were less likely to develop an anastomotic leak (p = 0.03) and peritonitis (p = 0.03) compared to parenterally fed patients. Vomiting (p = <0.01) and anastomotic leak (p = 0.04) were significantly lower in the early enteral feeding group.ConclusionsThere is less emphasis on the combined approach of intravenous fluid resuscitation and enteral feeding in critically ill patients. Conservative fluid resuscitation and aggressive enteral feeding are presumably key factors contributing to severe life-threatening GDF. Future trials should evaluate the impact of cross-interaction between conservative and aggressive modes of these two interventions on the severity of GDF.

Upper digestive intolerance during enteral nutrition in critically ill patients: Frequency, risk factors, and complications

2001 ◽  
Vol 29 (10) ◽  
pp. 1955-1961 ◽  
Author(s):  
Hervé Mentec ◽  
Hervé Dupont ◽  
Maria Bocchetti ◽  
Pascale Cani ◽  
Frédérique Ponche ◽  
...  
Keyword(s):  
Risk Factors ◽  
Enteral Nutrition ◽  
Critically Ill ◽  
Critically Ill Patients

scholarly journals The diagnosis and NUTRIC score of critically ill patients in enteral nutrition are risk factors for the survival time in an intensive care unit?

2019 ◽  
Author(s):  
Vania Aparecida Leandro-Merhi ◽  
Isabela Bernasconi José ◽  
José Luis Braga de Aquino ◽  
José Alexandre Mendonça
Keyword(s):  
Risk Factors ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Enteral Nutrition ◽  
Survival Time ◽  
Critically Ill ◽  
Critically Ill Patients

NOD2 gene variants as novel risk factors for secondary sclerosing cholangitis in critically ill patients

2017 ◽  
Author(s):  
C Jüngst ◽  
V Stadlbauer ◽  
M Reichert ◽  
V Zimmer ◽  
S Weber ◽  
...  
Keyword(s):  
Risk Factors ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Sclerosing Cholangitis ◽  
Gene Variants ◽  
Secondary Sclerosing Cholangitis ◽  
Novel Risk Factors

777-P: Enteral Nutrition in Critically Ill Patients with Hyperglycemia: A Meta-analysis of Randomized Controlled Trials with Trial Sequential Analysis

Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 777-P
Author(s):  
MAGALI KUMBIER ◽  
FLAVIA MORAES SILVA ◽  
LANA C. PINTO ◽  
JUSSARA ALMEIDA ◽  
FRANZOSI OELLEN
Keyword(s):  
Enteral Nutrition ◽  
Randomized Controlled Trials ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Sequential Analysis ◽  
Meta Analysis ◽  
Trial Sequential Analysis ◽  
Controlled Trials ◽  
Randomized Controlled
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