Abstract
Over the past 25 years, clinical studies have provided convincing evidence that early nutritional support benefits stressed surgical patients by preventing acute protein malnutrition [1–3]. Additionally, enteral nutrition, when compared to parenteral [4–6], has been demonstrated to be the preferred route of substrate delivery. Moreover, recent basic and clinical investigation offers the prospect that the benefits of traditional nutrition support can be amplified by supplementing specific nutrients that impart pharmacological immune-enhancing effects [7–22]. The focus of this chapter is to define optimal nutrition following major torso trauma and to describe a systematic method to deliver nutrition care in the ICU.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Alexander JW, Macmillian BG, Stinnett JD, et al: Beneficial effects of aggressive protein feeding in severely burned children. Ann Surg 1980; 192 (4):505–517
Moore EE, Jones TN: Benefits of immediate jejunal feeding after major abdominal trauma - a prospective randomized study. J Trauma 1986; 26:874–883
Cerra FB: Hypermetabolism, organ failure, and metabolic support. Surgery 1987;101 (1):1–11
Moore FA, Moore EE, Jones, TN, McCroskey, BL, Peterson VM: TEN versus TPN following major abdominal trauma - reduced septic morbidity. J Trauma 1989; 29 (7):916–922
Kudsk KA, Croce MA, Fabian TC, et al: Enteral versus parenteral feeding: Effects on septic morbidity following blunt and penetrating abdominal trauma. Ann Surg 1992; 215 (5):503–511
Moore FA, Feliciano DV, Andrassy RJ, et al: Early enteral feeding, compared with parenteral, reduces postoperative septic complications - The results of a meta-analysis. Ann Surg 1992, 2169 (2):172–183
Wilmore DW, Shabert, JK.: Role of glutamine in immunologic responses. Nutrition 1998;14 (7–8):7–8
Barbul A, Lazarou SA, Efron DT, Wasserbrug HL, Efrom G et al: Arginine enhances wound healing and lymphocyte immune responses in humans. Surgery 1990; 108 (2):331–336
Alexander JW, Saito H, Trocki O, Ogle CK, et al: The importance of lipid type in the diet after burn injury. Ann Surg 1986; 204 (1):1–8
Van Buren CT, Kulkarni AD, Fanslow WC, Rudolph FBet al: Dietary nucleotides, a requirement for helper/inducer T lymphocytes. Transplantation 1985; 40 (6):694–697
Gottschlich MM, Jenkins M, Warden GD, et al: Differential effects of three enteral dietary regimens on selected outcome variables in burn patients. JPEN 1990;14 (3):225–236
Cerra FB, Lehman S, Konstantinides N, et al: Improvement in immune function in ICU patients by enteral nutrition supplemented with arginine, RNA and menhaden oil is independent of nitrogen balance. Nutrition 1991; 7 (3):193–199
Daly JM, Liberman MD, Goldfine J, et al: Enteral nutrition with supplemental arginine, RNA and omega-3 fatty acids in patients after operation: Immunologic, metabolic and clinical outcome. Surgery 1992;112 (1):56–67
Brown RO, Hunt H, Mowatt-Larssen CA, Wojtysiak SL, Henningfield MF, Kudsk KA Comparison of specialized and standard enteral formulas in trauma patients. Pharmacotherapy 1994; 14 (3):314–320
Moore FA, Moore EE, Kudsk KA, et al.: Clinical benefits of an immune-enhancing diet for early postinjury enteral feeding. J Trauma 1994; 37 (4):607–615
Bower RH, Cerra FB, Bershadsky B, et al: Early enteral administration of a formula supplemented with arginine, nucleotides, and fish oil in intensive care unit patients: Results of a multicenter, prospective, randomized clinical trial. Crit Care Med 1995; 23 (3):436–449
Daly JM, Weintraub FN, Shou J, Rosato EF, Lucia M: Enteral nutrition during multimodality therapy in upper gastrointestinal cancer patients. Ann Surg 1995; 221 (4):327–338
Kudsk KA, Minard G, Croce MA, et al: A randomized trial of isonitrogenous enteral diets following severe trauma: An immune-enhancing diet reduces septic complications. Ann Surg 1996; 224 (4):531–540
Senkal M, Mumme A, Eickhoff U, et al: Early postoperative enteral immunonutrition: Clinical outcome and cost-comparison analysis in surgical patients. Crit Care Med 1997;25 (9)1489–1496
Braga M, Gianotti L, Vignali A, Gestari A, Bisagni P, Carlo Vet al: Artificial nutrition after major abdominal surgery: Impact of route of administration and composition of the diet. Crit Care Med 1998;26:24–30
Atkinson S, Sieffert E, Bihari D: A prospective, randomized, double-blind, controlled clinical trial of enteral immunonutrition in the critically ill. Crit Care Med 1998; 26 (7):1164–1172
Weimann A, Bastian, L, Bischoff WE: Influence of arginine, omega-3 fatty acids and nucleotide-supplemented enteral support on systemic inflammatory response syndrome and multiple organ failure in patients after severe trauma. Nutrition 1998;14 (2):165–72
Fry DE, Pearlstein L, Fulton RL, Polk HC: Multiple system organ failure: The role of uncontrolled infection. Arch Surg 1980; 115 (2):136–140
McArdle AH, Palmason C, Morency I, Brown RA: A rationale for enteral feeding as the preferable route for hyperalimentation. Surgery 1981; 90:616–623
Mochizuki H, Trocki O, Dominioni L, Brackett KA, Joffe SN, Alexander JW: Mechanism of prevention of postburn hypermetabolism and catabolism by early enteral feeding. Ann Surg 1984; 200: 297–310
Kudsk KA, Carpenter G, Peterson SR, Sheldon GF: Effect of enteral and parenteral feeding in malnourished rats with hemoglobin - E. coil, adjuvant peritonitis. J Surg Res 1981;31 (2):105–110
Alverdy J, Chi HS, Sheldon GF: The effect of parenteral nutrition on gastrointestinal immunity: The importance of enteral stimulation. Ann Surg 1985; 202 (6):681–684
Lowry SF: The route of feeding influences injury responses. J Trauma 1990; 30 (12 Suppl):S10–15
Kudsk KA, Li J, Renegar KB: Loss of upper respiratory tract immunity with parenteral feeding. Ann Surg 1996; 223 (6):629–35
Veterans Affair Total Parenteral Cooperative Study Group: Perioperative total parenteral nutrition in surgical patients. N Engl J Med 1991;325 (8):525–532
Sandstrom R, Drott C, Hyltander A, et al: The effect of postoperative intravenous feeding (TPN) on outcome following major surgery evaluated in a randomized study. Ann Surg 1993; 217 (2):185–195
Brennan MF, Pisters PWT, Posner M, Quesada O, Shike M: A prospective randomized trial of total parenteral nutrition after major pancreatic resection for malignancy. Ann Surg 1994; 220 (4):436–441
Bell SJ, Mascioli EA, Bistrian BR, Babayan VK, Blackburn GL: Alternative lipid sources for enteral and parenteral nutrition: long and medium-chain triglycerides, structured triglycerides, and fish oils. J Am Diet Assoc 1991 91 (1):74–8
Mendez C, Jurkovich GJ, Garcia I, Davis D, Parker A, Maier RV: Effects of an immune-enhancing diet in critically injured patients. J Trauma 1997;42 (5):933–940
Saffle JR, Wiebke G, Jennings K, Morris SE, Barton RG: Randomized trial of immune-enhancing enteral nutrition in burn patients. J Trauma 1997;42:793–800
Clemmer TP, Spuhler VJ.: Developing and gaining acceptance for patient care protocols. New Horizons 1998; 6 (1):12–19
Marvin RG, McKinley BA, McQuiggan MM, Cocanour CS, Moore FA: Nonocclusive bowel necrosis in critically ill trauma patients receiving enteral nutrition manifests no reliable clinical signs for early detection. Am J Surg (in press)
Dudrick SJ, Latifi R, Fosnocht DE: Management of the short bowel syndrome. Surg Clin No Am 71 (3):625–43
ASPEN (1993) Guidelines for the use of parenteral and enteral nutrition in adult patients. JPEN 17 (4 Supp):1SA–26SA
Heyman MB: General and specialized parenteral amino acid formulations for nutrition support. J Am Diet Assoc 1990;90 (3):401–8:401–8
Heyland DK, Tougas G, King D, Cook DJ: Impaired gastric emptying in mechanically ventilated, critically ill patients. Intensive Care Med 1996;22 (12):1339–44
Myers JG, Page, CP, Steward, RM, Schwesinger WH, Sirinek KR, Aust JB:Complications of needle catheter jejunostomy in 2,022 consecutive applications. Amer J Surg 1995;170 (6):547–550
Coates NE, MacFadyen BV: Endoscopic jejunal access for enteral feeding. Am J Surg 1995; 169 (6):627–628
Reed RL, Eachempati SR, Russell MK, Fahkry C: Endoscopic placement of jejunal feeding catheters in critically ill patients by a push technique. J Trauma 1998;45 (2):388–393
Marvin RG, Moore FA, Cocanour CS, et al: Implementation of a procedure team improves utilization and reduces cost for critically ill patients in the ICU. J Trauma 1998; 44:425
Duh QY, Way LW: Laparoscopic jejunostomy using T-fasteners as retractors and anchors. Arch Surg 1993; 128 (1):105–108
Morris AH: Algorithm based decision making. Principles and Practice of Intensive Care Monitoring. Tobin MJ (Ed). New York, McGraw-Hil1,l997:1355–1381
East TD, Morris AH, Wallace CJ, et al: A strategy for development of computerized critical care decision support systems. Int J Clin Mon it Comput 1992;8 (4):263–269
Morris AH: Protocol management of adult respiratory distress syndrome. New Horizons 1993; 1 (4):593–602
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2002 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
McQuiggan, M.M., Moore, F.A. (2002). Nutrition Support in Blunt and Penetrating Torso Trauma. In: Pichard, C., Kudsk, K.A. (eds) From Nutrition Support to Pharmacologic Nutrition in the ICU. Update in Intensive Care Medicine, vol 34. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-57119-0_20
Download citation
DOI: https://doi.org/10.1007/978-3-642-57119-0_20
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-42604-2
Online ISBN: 978-3-642-57119-0
eBook Packages: Springer Book Archive