What is it about?
Gastrointestinal (GI) motility disorders in intensive care patients remain relatively unexplored. Nowadays, the frequency, risk factors and complications of GI dysfunction during enteral nutrition (EN) become more questionable.
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Why is it important?
GI dysfunction should be considered a clinical predictor of inadequate nutrition and prolonged length of stay. The most significant risk for GI dysfunction was observed in patients with multidrug-resistant bacteria growth in the culture and patients in negative fluid balance. Intensivists provide appropriate nutrition for patients, as well as prompt intervention and the development of treatment strategies in the event of GI dysfunction
Perspectives
In our findings, negative fluid balance and MDR bacteria positivity were independent risk factors for GI dysfunction. We also showed that GI dysfunction was associated with high SOFA score, hypoalbuminemia, catecholamine use, and prolonged LOS. GI dysfunction, on the other hand, can cause some complications including inadequate nutrition, vomiting, and newly developed decubitus ulcers, and these complications may delay patient recovery. Therefore, this study reveals the need for the establishment of a management protocol to treat these complications.
Ayse Gulsah Atasever
Istanbul Universitesi
Read the Original
This page is a summary of: The frequency, risk factors, and complications of gastrointestinal dysfunction during enteral nutrition in critically ill patients, Therapeutics and Clinical Risk Management, February 2018, Dove Medical Press,
DOI: 10.2147/tcrm.s158492.
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