Difficulties and countermeasures in the implementation of enteral nutrition in Surgical critically ill patients
MA Xiao-chun
DU Yu-rong
ZHU Ran
Abstract：Almost all surgeons recognize early enteral nutrition benefits surgical critically ill patients but it is still a huge challenge to provide a fulfilled early enteral nutrition to surgical critically ill patients.First,early risk prediction may help to reduce surgical injury to the gastrointestinal tract in surgical critically ill patients.Second,optimization of enteral nutrition with other critical care management may reduce iatrogenic injury,such as feeding-associated intestinal ischemia or perforation.Third,assessment of nutritional status,nutritional risks,and nutritional requirements should be appropriately applied before enteral nutrition.Assessment of gastrointestinal tract structure,perfusion,function,feeding intolerance,and nutritional effectiveness should be appropriately applied after enteral nutrition.Surgical critically ill patients are frequently complicated with acute gastrointestinal injury and feeding intolerance.Gastrointestinal ultrasound combined with other clinical parameters could help with a better assessment in critical care management and also in providing enteral nutrition,further improving clinical enteral nutrition effectiveness.Enteral nutrition is part of critical care management in surgical critically ill patients.A correct and renewed peri-intensive care management concept will make nutrition therapy improve the prognosis of surgical critically ill patients.
Keywords：critical care medicineenteral nutritionacute gastrointestinal injurygastrointestinal ultrasoundfeeding intolerancenutrition assessment
Publication Date：2024-02-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 148-151 )