Tolerability and safety of enteral nutritionin in critical ill patients with hemodynamic instability
10.3760/cma.j.issn.1671-0282.2016.01.030
- VernacularTitle:血流动力学不稳定重症患者肠内营养的耐受性与安全性
- Author:
Di YU
;
Ling LONG
;
Heling ZHAO
- Publication Type:Journal Article
- Keywords:
Critical ill patients;
Enteral nutritionin;
Hemodynamic instability;
Vasoactive agents
- From:
Chinese Journal of Emergency Medicine
2016;25(1):113-116
- CountryChina
- Language:Chinese
-
Abstract:
In patients with a functional gut,enteral nutrition is the preferred route of nutrition support.The favorable effects of enteral nutrition include prevention of mucosal atrophy,maintaining of the integrity of gut flora,and improvement of immunocompetence.The guidlines recommend EN be withheld in patients requiring significant hemodynamic support,because of highdose catecholamine agents which could reduce EN tolerance.Splanchnic perfusion is reduced in sepsis shock,yet vasoactive agents have demonstrated both improved and diminished perfusion.Inadequate perfusion increases the risk of experiencing rare but serious adverse events.This study summarizes the tolerability and safety of enteral nutritionin in critically iH patients with hemodynamic instability and provides theoretical basis for the early administration of EN.
