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Safety and Outcomes of Early Enteral Nutrition in Circulatory Shock
Author(s) -
Patel Jayshil J.,
Rice Todd,
Heyland Daren K.
Publication year - 2020
Publication title -
journal of parenteral and enteral nutrition
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.935
H-Index - 98
eISSN - 1941-2444
pISSN - 0148-6071
DOI - 10.1002/jpen.1793
Subject(s) - circulatory system , shock (circulatory) , medicine , circulatory collapse , splanchnic , intensive care medicine , parenteral nutrition , enteral administration , intensive care unit , splanchnic circulation , cardiology , hemodynamics
Circulatory shock is one of the most common reasons for an intensive care unit admission, has been shown to impair gut barrier and immune functions, and promotes dysbiosis. The exact timing and dose of enteral nutrition (EN) in circulatory shock remains unclear. In fact, because of fear of complications such as nonocclusive mesenteric ischemia and bowel necrosis and splanchnic steal phenomenon, clinicians may hesitate to start EN in critically ill patients with circulatory shock. In this narrative review, we identify and appraise contemporary evidence evaluating the safety and outcomes of EN in circulatory shock.