Nutrition rehabilitation in the intensive care unit.

Authors :: Massanet PL
Petit L
Louart B
Corne P
Richard C
Preiser JC
Source :: JPEN. Journal of parenteral and enteral nutrition [JPEN J Parenter Enteral Nutr] 2015 May; Vol. 39 (4), pp. 391-400. Date of Electronic Publication: 2015 Jan 13.
Publication Year :: 2015
Abstract: The maintenance of homeostasis after severe injury requires the restoration of the physiological regulation of food intake. A wide array of functional alterations can hinder the intake of adequate amounts of nutrients to support the recovery from critical illness. These alterations encompass changes in the preprandial phase, reflected by a loss of appetite; changes in the prandial phase, yielding swallowing disorders; and changes in the postprandial phase, including impairments of gastric emptying, gut motility, and satiety. This tutorial aims to review these often overlooked features and to suggest recommendations for the nutrition rehabilitation of the critically ill.<br /> (© 2015 American Society for Parenteral and Enteral Nutrition.)