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Intensive Care Medicine
Published in: Intensive Care Medicine 9/2009

01-09-2009 | Correspondence

Tolerance of enteral feeding: from quantity to quality of gastric residual volume?

Authors: Michele Umbrello, Giovanluigi Elia, Anne Lucia Leona Destrebecq, Gaetano Iapichino

Published in: Intensive Care Medicine | Issue 9/2009

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Excerpt

Dear Sir: Nutritional support is essential in the management of critically ill patients; enteral nutrition is preferred to parenteral [1], because the latter may favour immune compromise and infections, is more costly, and leads to adverse outcome in some subsets of patients. Moreover, many studies have shown that this evidence is even more pronounced with the use of early enteral nutrition [2]. …
Literature
1.
Kreymann KG, Berger MM, Deutz NE, Hiesmayr M, Jolliet P, Kazandjiev G, Nitenberg G, van den Berghe G, Wernerman J, Ebner C, Hartl W, Heymann C, Spies C (2006) ESPEN guidelines on enteral nutrition: intensive care. Clin Nutr 25:210–223PubMedCrossRef
2.
Marik PE, Zaloga GP (2001) Early enteral nutrition in acutely ill patients: a systematic review. Crit Care Med 29:2264–2270PubMedCrossRef
3.
Mentec H, Dupont H, Bocchetti M, Cani P, Ponche F, Bleichner G (2001) Upper digestive intolerance during enteral nutrition in critically ill patients: frequency, risk factors, and complications. Crit Care Med 29:1955–1961PubMedCrossRef
4.
McClave SA, Lukan JK, Stefater JA, Lowen CC, Looney SW, Matheson PJ, Gleeson K, Spain DA (2005) Poor validity of residual volumes as a marker for risk of aspiration in critically ill patients. Crit Care Med 33:324–330PubMedCrossRef
5.
Cigada M, Pezzi A, Di Mauro P, Marzorati S, Noto A, Valdambrini F, Zaniboni M, Astori M, Iapichino G (2005) Sedation in the critically ill ventilated patient: possible role of enteral drugs. Int Care Med 31:482–486CrossRef
Metadata
Title
Tolerance of enteral feeding: from quantity to quality of gastric residual volume?
Authors
Michele Umbrello
Giovanluigi Elia
Anne Lucia Leona Destrebecq
Gaetano Iapichino
Publication date
01-09-2009
Publisher
Springer-Verlag
Published in
Intensive Care Medicine / Issue 9/2009
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-009-1525-1

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