The Tricks and Traps of Enteral Nutrition
Many aspects of the approach to nutrition of critically ill patients have changed over the last decade even though the clinical problems are unchanged. Surgery, sepsis, trauma, burns and other causes of critical illness increase metabolic rate but sick patients are unable to eat because of impaired consciousness, sedation or recent surgery, or because their appetite is decreased. A large negative nitrogen balance can accumulate quickly with loss of muscle, delayed wound healing and reduced resistance to infection. It is now clear that the negative nitrogen balance cannot be reversed completely even with active nutritional support, but this should not prevent nutritional issues being considered in every patient needing intensive care.
KeywordsEnteral Nutrition Enteral Feeding Protein Energy Malnutrition Gastric Aspirate Enteral Feeding Tube
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