INTENSIVIST Volume 11, Issue 2 (April 2019)

What route of administration is recommended for nutritional therapy? Azusa ISHIZUKA 1 , Jun KATAOKA 2 1Department of Critical Care Medicine 2Department of Emergency and Critical Care Medicine Nerima Hikarigaoka Hospital pp.273-280
Published Date 2019/4/1
  • Abstract
  • Look Inside
  • Reference

Early enteral nutrition support for critically ill patients has been emphasized recently and has become common practice. It is very important to overcome any intolerance of enteral nutrition. In the management of critically ill patients, in whom intestinal motility and metabolic function can fluctuate, one must notice if enteral nutrition is interrupted due to gastrointestinal complications such as diarrhea or emesis, or accompanied by aspiration pneumonia, impaired glucose tolerance, etc. In order to overcome any lack of tolerance, changes in the route of administration,method of administration, type of nutritional formulations and medication therapies must be tried, even though it may be difficult to decide on optimal conditions. Based on these facts, this article discusses the optimal administration route, “sustained vs. intermittent”, “stomach vs. distal to the pylorus”, citing past clinical trials, guidelines and present practice as evidence.

Copyright © 2019, MEDICAL SCIENCES INTERNATIONAL, LTD. All rights reserved.


11巻2号 (2019年4月)
電子版ISSN 2186-7852 印刷版ISSN 1883-4833 メディカル・サイエンス・インターナショナル