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Enteral Feeding in the Critically Injured Patient
Author(s) -
Anderson Jan D.,
Moore Frederick A.,
Moore Ernest E.
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 - 10.1177/0115426592007003117
Subject(s) - medicine , critically ill , enteral administration , intensive care medicine , parenteral nutrition
Metabolic support is an integral component in the care of the critically injured patient. When hypermetabolism occurs, there are increases in energy demands along with changes in substrate utilization. This article reviews the prospective randomized clinical trials that were undertaken at Denver General Hospital over the past decade that address both the timing of nutritional support and the route of administration in this critically injured population. Also discussed is a review of a meta‐analysis that attests to the feasibility of early postoperative enteral feeding with the possibility of decreased septic morbidity in high‐risk surgical patients. With the clinical knowledge gained from these trials, an algorithm for nutritional intervention was developed that represents our current standard of practice.