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Combined Parenteral and Enteral Nutrition in Severe Trauma
Author(s) -
Wagner David R.,
Elmore Michael F.,
Tate John T.
Publication year - 1992
Publication title -
nutrition in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.725
H-Index - 71
eISSN - 1941-2452
pISSN - 0884-5336
DOI - 10.1177/0115426592007003113
Subject(s) - medicine , parenteral nutrition , enteral administration , abdominal trauma , intensive care medicine , abdominal wound , feeding tube , surgery , blunt
Early enteral feeding is increasingly advocated for the nutrition support of severely stressed patients. The successful use of this modality in critical illness is often limited by the patient's condition, the availability of access for feeding, and the patient's tolerance of the enteral formula. Factors such as abdominal injury or constraints on fluid volume also complicate nutrition support in this setting. Attention to a secure and well‐maintained small bowel access tube and appropriate formula selection allow safe tube feeding in these patients. This case report describes the clinical course of a patient with severe chest and abdominal trauma who received enteral nutrition despite a large, open abdominal wound.