RT Book, Section
A1 Sarao, Amar Anantdeep Singh
A1 Kohli-Seth, Roopa
A2 Oropello, John M.
A2 Pastores, Stephen M.
A2 Kvetan, Vladimir
SR Print(0)
ID 1136418302
T1 Controversies: Enteral Nutrition—Pyloric Versus Postpyloric
T2 Critical Care
YR 1
FD 1
PB McGraw-Hill Education
PP New York, NY
SN 9780071820813
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1136418302
RD 2024/04/20
AB Critically  ill  patients  are  often  in  hypermetabolic  states  with  increased  nutritional  needs.  At  the  same  time,  however,  such  patients  are  often  unable  to  take  adequate  oral  intake,  necessitating  the  use  of  supplementary  nutrition.  Maintaining  adequate  nutrition  in  the  critically  ill  patient  has  shown  to  decrease  infectious  complications.1  Early  enteral  nutrition  in  the  critically  ill  mechanically  ventilated  patient  has  shown  to  decrease  ICU  and  hospital  mortality  rates  with  the  greatest  benefit  derived  in  the  sickest  of  patients.2  Malnutrition  on  the  other  hand  is  known  to  adversely  impact  the  length  of  ICU  and  hospital  stay.3  It  is  because  of  the  benefits  seen  with  providing  optimal  nutrition  in  the  ICU  that  nutritional  support  therapy  has  now  become  an  indispensable  component  in  the  management  of  the  critically  ill  patient.  Although  nutrition  can  be  provided  via  the  enteral  or  parenteral  route,  the  enteral  route  is  preferred  over  the  latter  due  to  its  lower  cost,  ease  of  institution  and  decreased  infectious  complications.4  Not  using  the  gastrointestinal  tract  predisposes  to  gut  mucosal  atrophy,  resulting  in  translocation  of  the  bacteria  across  the  gut  wall  leading  to  bacteremia.