Torres VA, Fuentes CM, Jiménez MF, Sandoval LNG, Vargas UB, Ocampo ON

Language: Spanish
References: 30
Page: 226-235
PDF size: 81.92 Kb.

ABSTRACT

Critically ill patient is under catabolism, with a high risk to present malnutrition.
A deficient nutritional status modify the metabolic response and increases the infectious complications, that’s the reason why the nutritional support must be established in critical units. Enteral nutrition is the first option because preserve the physiological digestive functions, avoid the bacterial translocation for the preserve of the gut barrier. The use of the digestive system in critically ill patients decreases the risk of multiple organ dysfunction syndrome.
The clinical monitoring for the administration of the enteral nutrition permits to have a better control of the complications, decreases reasons of interruption and let to reach the caloric goal. The unification of criteria is essential between the multidisciplinary team to assume the responsibility for take decisions about the beginning, the lack, interruption, delay or restart of the enteral nutrition.
Best practices of nutritional support are possible when exist a management with physicians trained in artificial nutrition, who leave beside the myths that exist around practice enteral nutrition.
It is indispensable the application of protocols based on evidence to assure the success of the nutritional therapy in critical care units.

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