Optimal timing for the initiation of enteral and parenteral nutrition in critical medical and surgical conditions

Nutrition
José E de Aguilar-NascimentoPedro E Portari-Filho

Abstract

The early provision of nutrients as part of specialized therapy for critically ill patients admitted for critical medical and surgical conditions is recommended by various international guidelines. Enteral nutrition is the first option and should be initiated 24-48 h after admission to an intensive care unit. Even after gastrointestinal anastomosis, early oral or enteral feeding is not only safe but also associated with enhanced recovery and fewer complications. Recent studies showed that the use of an enteral diet or parenteral nutrition that contains immune nutrients enhances the recovery of critically ill patients. Although the precise caloric target remains controversial, the general consensus advocates the avoidance of prolonged hypocaloric or hypercaloric feeding. However, there is still debate about the timing of the initiation of parenteral nutrition when enteral nutrition either is impossible or does not meet the nutritional goals. Although controversy remains, two recent studies showed that when enteral feeding is not feasible the early initiation of parenteral nutrition was not associated with palpable benefit.

References

Jan 17, 2002·The New England Journal of Medicine·G van den BergheR Bouillon
May 16, 2006·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·K G KreymannUNKNOWN ESPEN (European Society for Parenteral and Enteral Nutrition)
May 16, 2006·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·A WeimannUNKNOWN ESPEN (European Society for Parenteral and Enteral Nutrition)
Jun 24, 2006·World Journal of Surgery·Dan L WaitzbergDavid Bihari
Apr 20, 2007·The British Journal of Surgery·I J M Han-GeurtsJ Jeekel
Sep 22, 2007·Critical Care Medicine·Renee D StapletonDaren K Heyland
Apr 12, 2008·Current Opinion in Clinical Nutrition and Metabolic Care·José E de Aguilar-Nascimento, Kenneth A Kudsk
Apr 29, 2009·JPEN. Journal of Parenteral and Enteral Nutrition·UNKNOWN American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) Board of Directors
Jun 10, 2009·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Pierre Singer ESPEN
Jun 30, 2009·Annals of the Royal College of Surgeons of England·Duncan Rc SpaldingRobin Cn Williamson
Jul 30, 2009·Nitric Oxide : Biology and Chemistry·I B J G DebatsR R W J van der Hulst
Dec 17, 2009·Nutrition·José Eduardo de Aguilar-NascimentoRosalia Bragagnolo
Jan 21, 2011·Journal of the American College of Surgeons·John W DroverDaren K Heyland
Jan 27, 2011·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Roland N Dickerson
Jan 29, 2011·The Journal of Clinical Endocrinology and Metabolism·Ilse VanhorebeekGreet Van den Berghe
Jan 29, 2011·The American Journal of Clinical Nutrition·Yaseen M ArabiRiette Brits
Jun 2, 2011·JPEN. Journal of Parenteral and Enteral Nutrition·Emma OslandMuhammed Ashraf Memon

❮ Previous
Next ❯

Citations

Sep 7, 2014·Expert Review of Neurotherapeutics·Feng LiGuang-wei Liu
Jun 1, 2014·Critical Care Nursing Clinics of North America·Judy Verger
Feb 5, 2014·JPEN. Journal of Parenteral and Enteral Nutrition·Rie TsutsumiYasuo M Tsutsumi
Apr 14, 2017·Revista brasileira de enfermagem·Franciele AnzilieroMariur Gomes Beghetto
Jan 30, 2018·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Camila F A SilvaFlávia M Silva
Feb 5, 2015·American Journal of Bioinformatics and Computational Biology·Hiroki Kinugawa, Yasuyuki Shimada
Nov 1, 2013·Revista do Colégio Brasileiro de Cirurgiões·Alberto Bicudo-SalomãoJosé Eduardo de Aguilar-Nascimento

❮ Previous
Next ❯

Related Concepts

Related Feeds

Autophagy & Model Organisms

Autophagy is a cellular process that allows degradation by the lysosome of cytoplasmic components such as proteins or organelles. Here is the latest research on autophagy & model organisms

© 2021 Meta ULC. All rights reserved