Critical illness, gastrointestinal complications, and medication therapy during enteral feeding in critically ill adult patients

Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition
Imad F BtaicheMichael D Kraft

Abstract

Critically ill patients who are subjected to high stress or with severe injury can rapidly break down their body protein and energy stores. Unless adequate nutrition is provided, malnutrition and protein wasting may occur, which can negatively affect patient outcome. Enteral nutrition (EN) is the mainstay of nutrition support therapy in patients with a functional gastrointestinal (GI) tract who cannot take adequate oral nutrition. EN in critically ill patients provides the benefits of maintaining gut functionality, integrity, and immunity as well as decreasing infectious complications. However, the ability to provide timely and adequate EN to critically ill patients is often hindered by GI motility disorders and complications associated with EN. This paper reviews the GI complications and intolerances associated with EN in critically ill patients and provides recommendations for their prevention and treatment. It also addresses the role of commonly used medications in the intensive care unit and their impact on GI motility and EN delivery.

References

Nov 1, 1977·The Journal of Infectious Diseases·C D EricssonL K Pickering
Mar 1, 1992·The American Journal of Clinical Nutrition·D Z BlissR G Settle
Mar 1, 1992·JPEN. Journal of Parenteral and Enteral Nutrition·G ChapmanM M Meguid
Jul 1, 1992·Clinical Pharmacology and Therapeutics·J A Culpepper-MorganM J Kreek
May 1, 1991·JPEN. Journal of Parenteral and Enteral Nutrition·P A GuenterR H Rolandelli
Apr 1, 1991·Journal of Clinical Gastroenterology·R BenyaS Mobarhan
Jan 1, 1988·Journal of Neurosurgery·J A NortonA B Young
Jan 1, 1983·Critical Care Medicine·T W KellyK M Hillman
Jun 1, 1995·Critical Care Medicine·D HeylandG Guyatt
Aug 1, 1994·The American Journal of Medicine·K R JohnstonM H Andritz
Feb 1, 1994·Archives of Pediatrics & Adolescent Medicine·L L Fan, L M Graham
Mar 1, 1993·The Annals of Pharmacotherapy·D M LutomskiJ E Martin
Aug 1, 1995·Drug and Alcohol Dependence·L J CheskinJ H Jaffe
Jan 1, 1996·Pharmacology & Therapeutics·A De Luca, I M Coupar
Dec 1, 1996·Intensive Care Medicine·D K HeylandD J Cook
Mar 1, 1997·Intensive Care Medicine·P FrostD Bihari
Mar 1, 1997·Der Anaesthesist·L LataschI Jurna
Apr 30, 1998·Critical Care Clinics·B A Cunha
Jul 22, 1998·The American Journal of Gastroenterology·C H KaoT C Yen
Feb 2, 1999·Pediatrics·H P BandlaN E Hopkins
May 8, 1994·Quality in Health Care : QHC·A Kitson
Jul 15, 1999·The New England Journal of Medicine·R J PonecM B Kimmey
Aug 14, 1999·Critical Care Medicine·S A McClaveH L Snider
Sep 15, 1999·JPEN. Journal of Parenteral and Enteral Nutrition·D A SpainH L Snider
Mar 4, 2000·Diseases of the Colon and Rectum·R L CaliC Freeman
Mar 7, 2000·Journal of the American College of Surgeons·H ParanU Freund
May 29, 2000·Diseases of the Colon and Rectum·G T TrevisaniJ M Church
Aug 23, 2000·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·A MallampalliH L Snider
Sep 16, 2000·Intensive Care Medicine·A DiveE Installé
Nov 25, 2000·The British Journal of Surgery·K Holte, H Kehlet
Mar 20, 2001·Critical Care : the Official Journal of the Critical Care Forum·U Kreimeier
Aug 2, 2001·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·H SpapenL Huyghens

❮ Previous
Next ❯

Citations

Dec 6, 2011·Critical Care : the Official Journal of the Critical Care Forum·Refaat A Hegazi, Paul E Wischmeyer
Apr 7, 2012·Critical Care : the Official Journal of the Critical Care Forum·Chien-Wei HsuKam-Fai Wong
Jul 19, 2011·Applied Health Economics and Health Policy·Robin S TurpinPaul Wischmeyer
Feb 7, 2014·Journal of Trauma Management & Outcomes·Leanne HuntPatricia M Davidson
Dec 18, 2013·Enfermería intensiva·M Orejana MartínE Alted López
Dec 4, 2014·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Leanne M Aitken, Andrea P Marshall
Jan 30, 2016·Journal of Veterinary Emergency and Critical Care·KimMi WhiteheadLaura Eirmann
May 31, 2011·The Surgical Clinics of North America·Richard HermanDaniel H Teitelbaum
Nov 23, 2010·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Leanne JackBala Venkatesh
Dec 20, 2015·JACC. Heart Failure·Evasio PasiniFrancesco Dioguardi
Jul 16, 2010·The British Journal of Surgery·M Gatt, J MacFie
Nov 26, 2015·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Andrea P MarshallDaren K Heyland
Aug 1, 2015·Gastroenterology Nursing : the Official Journal of the Society of Gastroenterology Nurses and Associates·Sawsam Mohammad HammadMuhammad Waleed Darawad
Jan 22, 2013·Journal of Critical Care·Tiffany NguyenSalmaan Kanji
Feb 17, 2017·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Jayshil J PatelRyan T Hurt
Dec 30, 2016·JAAPA : Official Journal of the American Academy of Physician Assistants·Kristopher R Maday
Jun 1, 2014·Critical Care Nursing Clinics of North America·Jan Powers, Karen Samaan
Apr 30, 2011·JPEN. Journal of Parenteral and Enteral Nutrition·Stanislaw KlekJan Kulig
Dec 9, 2010·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Kristen LichtenbergLeo Rotello
Oct 17, 2015·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Michelle KozenieckiJayshil J Patel
Feb 5, 2010·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Lingtak-Neander Chan
Oct 4, 2016·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Arlene A Escuro, A Christine Hummell
Mar 13, 2018·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Jan PowersRocco Brunelle
Sep 22, 2016·World Journal of Critical Care Medicine·Sara WilsonRoopa Kohli-Seth
Jan 13, 2018·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Michelle KozenieckiJayshil J Patel
Jul 26, 2014·Journal of Korean Academy of Nursing·Sung Hee Yoo, So Sun Kim
Apr 7, 2011·The American Journal of Gastroenterology·John C Fang, Mark H Delegge
Jan 12, 2012·Current Opinion in Clinical Nutrition and Metabolic Care·Florian PfabJohannes Fleckenstein
Jun 3, 2014·Critical Care Nurse·Jan Powers
Apr 12, 2013·Journal of Pediatric Gastroenterology and Nutrition·Tiffany A MooreAnn M Berger
Feb 19, 2015·Current Opinion in Critical Care·Annika Reintam BlaserSonja Fruhwald
Oct 28, 2014·British Journal of Nursing : BJN·Mahmoud Al KalaldehMark Hayter
Aug 5, 2017·ESC Heart Failure·Mark LueddeNorbert Frey
Nov 13, 2019·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Mahmoud Al-KalaldehOmar Al-Kalaldeh
Jul 22, 2017·Pharmacotherapy·Taryn B BainumKrystal K Haase
Jun 27, 2019·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Bethany HopkinsCathy Alberda
May 26, 2017·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Andrea P MarshallDaren K Heyland
Nov 27, 2020·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Annika Reintam BlaserStephan M Jakob
Nov 20, 2020·Saudi Journal of Gastroenterology : Official Journal of the Saudi Gastroenterology Association·Sara Zaher
Mar 27, 2021·Frontiers in Cellular and Infection Microbiology·Xue-Rui ShiSheng-Zhong Duan
Apr 21, 2021·Canadian Journal of Dietetic Practice and Research : a Publication of Dietitians of Canada = Revue Canadienne De La Pratique Et De La Recherche En Diététique : Une Publication Des Diététistes Du Canada·Bethany Hopkins, Janet Madill

❮ Previous
Next ❯

Methods Mentioned

BETA
sedation

Related Concepts

Related Feeds

Cachexia & Brown Fat

Cachexia is a condition associated with progressive weight loss due to severe illness. In cancer patients, it is proposed to occur as a result of tumor-induced energy wasting. Several proteins have been implicated in browning and depletion of white adipose tissue. Here is the latest research on cachexia and brown fat.

Cardiac Cachexia

Cardiac cachexia is a syndrome associated with the progressive loss of muscle and fat mass. It most commonly affects patients with heart failure and can significantly decrease the quality of life and survival in these patients. Here is the latest research on cardiac cachexia.

Related Papers

Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses
Brian P DormanMaregre Zabala
Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition
Andrew Ukleja
Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses
Suzie Ferrie, Vivienne East
© 2021 Meta ULC. All rights reserved