RT Book, Section
A1 Soo, Isaac
A1 Schattner, Mark
A2 Oropello, John M.
A2 Pastores, Stephen M.
A2 Kvetan, Vladimir
SR Print(0)
ID 1136419721
T1 Endoscopic Placement of Feeding Tubes
T2 Critical Care
YR 1
FD 1
PB McGraw-Hill Education
PP New York, NY
SN 9780071820813
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1136419721
RD 2024/04/23
AB Nutritional  support  is  an  important  component  of  care  for  the  critically  ill.  There  are  numerous  modalities  to  provide  specialized  nutrition  support  including  oral  dietary  therapy,  enteral  nutrition,  and  parenteral  nutrition.  For  patients  with  a  functioning  gastrointestinal  (GI)  tract,  enteral  nutrition  is  preferred  to  parenteral  nutrition.  It  is  safer,  more  physiologic,  and  economical.  In  the  intensive  care  unit  (ICU)  setting,  enteral  nutrition  is  associated  with  a  decreased  likelihood  of  developing  infections  when  compared  to  parenteral  nutrition.1  In  patients  with  acute  pancreatitis,  use  of  enteral  nutrition  is  also  associated  with  a  reduction  in  hospital  length  of  stay  and  a  trend  toward  reduced  organ  failure  when  compared  to  parenteral  nutrition.2  Patients  who  have  a  functioning  GI  tract  but  are  unable  to  safely  ingest  oral  intake  are  fed  via  enteral  access.  In  patients  in  whom  long-term  enteral  access  is  required,  endoscopically  placed  enteral  access  is  recommended.  Percutaneous  endoscopically  placed  gastrostomy  (PEG)  and  jejunostomy  (PEJ)  tubes  are  utilized  for  long-term  enteral  nutrition.