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Nutrition Rehabilitation in the Intensive Care Unit
Author(s) -
Massanet Pablo Lucas,
Petit Laurent,
Louart Benjamin,
Corne Philippe,
Richard Celine,
Preiser Jean Charles
Publication year - 2015
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 - 10.1177/0148607114567901
Subject(s) - gastric emptying , postprandial , swallowing , rehabilitation , intensive care medicine , appetite , medicine , intensive care unit , parenteral nutrition , critically ill , malnutrition , clinical nutrition , physiology , physical medicine and rehabilitation , endocrinology , physical therapy , stomach , surgery , diabetes mellitus
The maintenance of homeostasis after severe injury requires the restoration of the physiological regulation of food intake. A wide array of functional alterations can hinder the intake of adequate amounts of nutrients to support the recovery from critical illness. These alterations encompass changes in the preprandial phase, reflected by a loss of appetite; changes in the prandial phase, yielding swallowing disorders; and changes in the postprandial phase, including impairments of gastric emptying, gut motility, and satiety. This tutorial aims to review these often overlooked features and to suggest recommendations for the nutrition rehabilitation of the critically ill.