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Nutrition in Clinical Practice
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Enteral Feeding in the Critically Injured Patient

Jan D. Anderson, PHARMD

School of Pharmacy, University of Colorado Health Sciences Center

Frederick A. Moore, MD

Department of Surgery, Denver General Hospital, Denuer

Ernest E. Moore, MD

Department of Surgery, Denver General Hospital, Denuer

Metabolic support is an integral component in the care of the critically injured patient. When hypermetabolism occurs, there are increases in energy demands along with changes in substrate utilization. This article reviews the prospective randomized clinical trials that were undertaken at Denver General Hospital over the past decade that address both the timing of nutritional support and the route of administration in this critically injured population. Also discussed is a review of a meta-analysis that attests to the feasibility of early postoperative enteral feeding with the possibility of decreased septic morbidity in high-risk surgical patients. With the clinical knowledge gained from these trials, an algorithm for nutritional intervention was developed that represents our current standard of practice.

Nutrition in Clinical Practice, Vol. 7, No. 3, 117-122 (1992)
DOI: 10.1177/0115426592007003117


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JPEN J Parenter Enteral NutrHome page
M. S. Farber, J. Moses, and M. Korn
Reducing Costs and Patient Morbidity in the Enterally Fed Intensive Care Unit Patient
JPEN J Parenter Enteral Nutr, January 1, 2005; 29(1_suppl): S62 - S69.
[Abstract] [Full Text] [PDF]