Early enteral nutrition in adults receiving venoarterial extracorporeal membrane oxygenation: an observational case series
| Autor: | Primitivo Arribas López, Borja Maroto Rodríguez, Enrique Torres Sánchez, Lara Colino Gómez, José Luis Flordelís Lasierra, José Luis Pérez-Vela, Luis Daniel Umezawa Makikado, Juan Carlos Montejo González |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty Heart Diseases medicine.medical_treatment Critical Illness Medicine (miscellaneous) Hemodynamics Observation Young Adult Enteral Nutrition Extracorporeal Membrane Oxygenation Extracorporeal membrane oxygenation Medicine Humans Prospective Studies Young adult Cardiac Surgical Procedures Adverse effect Prospective cohort study Intensive care medicine Nutrition and Dietetics business.industry Middle Aged Intensive Care Units Parenteral nutrition Nutrition support Observational study Female business Energy Intake Respiratory Insufficiency |
| Zdroj: | JPEN. Journal of parenteral and enteral nutrition. 37(2) |
| ISSN: | 1941-2444 |
| Popis: | BACKGROUND Despite its benefits, early enteral nutrition (EN) is considered controversial in critically ill patients with severe hemodynamic failure. OBJECTIVE To evaluate the tolerance and safety of early EN in a consecutive group of patients receiving venoarterial (VA) extracorporeal membrane oxygenation (ECMO) for severe hemodynamic failure. MATERIALS AND METHODS Prospective observational study performed in a cardiac surgical intensive care unit (ICU) during a 1-year period. All adult patients receiving VA ECMO for severe hemodynamic failure unresponsive to conventional therapies were included. Nutrition support was provided during the study period following the established ICU nutrition protocol. Energy target was 25 kcal/kg, to be reached over 4 days. Nutrition tolerance was defined as the ratio of delivered nutrition to target nutrition, expressed as a percentage. Special interest was made to detect possible adverse effects attributable to EN. The authors performed a descriptive statistical analysis. RESULTS Of 553 patients admitted in the cardiac surgical ICU during the study period, 7 were treated with ECMO. EN was the only nutrition source. More than 70% nutrition tolerance was achieved within the first week in all cases. No serious adverse events that could be attributable to EN were noted. CONCLUSION The present study shows that, under proper medical supervision, early EN is possible and safe in patients with severe hemodynamic failure receiving VA ECMO. No serious adverse events were attributable to EN. More studies are warranted to confirm these findings. |
| Databáze: | OpenAIRE |
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