Abstract
To evaluate the tolerance to enteral nutrition (EN) and the effects of pro-kinetic drugs in critical traumatic brain injury (TBI) patients. Transversal observational study. A total of 32 out of 45 TBI patients of both genders receiving EN were evaluated in a trauma referral hospital intensive care unit (ICU). Data from each patient were collected for a period of 10 consecutive days after initiation of enteral feeding: gastric residue, presence of vomiting, abdominal distension, Glasgow coma scale and the use of pro-kinetic agents. In 20 of the 32 patients high levels of gastric residue were found. Of these 20 patients, half could not tolerate the diet within the first 72 hours following infusion. However, no association was found between disease severity and occurrence of gastrointestinal complications (p > 0.05). Feeding intolerance was observed in 75.0% (n = 24) of patients, even with the systematic use of metaclopramide from the outset of nutritional therapy. All patients with feeding intolerance who used erythromycin by nasogastric tube showed improvement. The high level of gastric residue was the most common feeding intolerance and the delivery of erythromycin by nasogastric tube seems to control gastrointestinal disorders...Continue Reading
References
Nov 1, 1987·Journal of Neurosurgery·B YoungR Dempsey
Jan 1, 1988·Journal of Neurosurgery·J A NortonA B Young
Jul 29, 1999·Annals of Emergency Medicine·R M BellJ A Weigelt
Sep 8, 2001·Critical Care Medicine·M A RitzJ Dent
Oct 6, 2001·Critical Care Medicine·H MentecG Bleichner
May 7, 2002·Critical Care Medicine·Andrew R DaviesRichard B Sewell
Sep 20, 2002·Neurological Research·Denise H RhoneyWilliam M Coplin
Sep 28, 2002·The Journal of Trauma·John D BerneJerry McClarty
Jun 5, 2003·British Journal of Neurosurgery·L V MarinoN Nathoo
Nov 13, 2003·Gut·M StroudUNKNOWN British Society of Gastroenterology
Apr 13, 2004·Current Opinion in Critical Care·Andrew R Davies, Rinaldo Bellomo
Jun 9, 2005·Intensive Care Medicine·Marc A RitzDeborah Rea
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 24, 2006·Brain Injury : [BI]·Karolina KrakauJörgen Borg
Sep 26, 2006·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·S Rob ToddFrederick A Moore
Oct 19, 2006·JPEN. Journal of Parenteral and Enteral Nutrition·Grant V BochicchioThomas M Scalea
Mar 6, 2007·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Tarik Zafer NursalNevzat Bilgin
Jun 5, 2007·Best Practice & Research. Clinical Gastroenterology·Jan Tack
Jul 2, 2008·Journal of Neurosurgery·Roger HärtlJamshid Ghajar
Jan 3, 2009·Journal of Neurotrauma·Norine FoleyRobert Teasell
Nov 7, 2009·JPEN. Journal of Parenteral and Enteral Nutrition·Roland N DickersonRex O Brown
Citations
May 8, 2013·The Journal of Surgical Research·Yang-Chun HuChun-Hua Hang
Mar 13, 2014·Acta Anaesthesiologica Scandinavica·A Reintam BlaserA M Deane
Jul 5, 2016·Saudi Journal of Anaesthesia·Jeetinder Kaur MakkarYatinder Kumar Batra
Sep 24, 2016·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·J MaxwellC P Marini
Nov 7, 2016·JPEN. Journal of Parenteral and Enteral Nutrition·Joseph I BoullataUNKNOWN ASPEN Safe Practices for Enteral Nutrition Therapy Task Force, American Society for Parenteral and Enteral Nutrition
Jun 8, 2019·The Journal of Nutrition·Yuanyuan MaJingci Zhu
Oct 12, 2019·Expert Review of Neurotherapeutics·Jingjing PengDeyu Qin
Nov 20, 2016·Critical Care Medicine·Jeanne ChatelonRomain Pirracchio
Sep 9, 2020·JPEN. Journal of Parenteral and Enteral Nutrition·Taniya CharoensareeratSutthiporn Pattharachayakul
Apr 26, 2017·Molecular Medicine Reports·Nian WangJie Chen
Jul 18, 2018·Metabolic Brain Disease·Luiza Valois VieiraRaquel Rocha