000 nab a22 7a 4500
999 _c17780
_d17780
003 PC17780
005 20240102140553.0
008 231229b xxu||||| |||| 00| 0 eng d
040 _cH12O
041 _aeng
100 _9204
_aSáez de la Fuente, Ignacio
_eMedicina Intensiva
100 _93382
_aQuintana Estelles, María Delicias
_eMedicina Intensiva
100 _9201
_aGarcía Gigorro, Renata
_eMedicina Intensiva
100 _9244
_aTerceros Almanza, Luis Juan
_eMedicina Intensiva
100 _91602
_aSánchez-Izquierdo Riera, José Ángel
_eMedicina Intensiva
100 _9874
_aMontejo González, Juan Carlos
_eMedicina Intensiva
245 0 0 _aEnteral Nutrition in Patients Receiving Mechanical Ventilation in a Prone Position.
_h[artículo]
260 _bJPEN. Journal of parenteral and enteral nutrition,
_c2016
300 _a40(2):250-5.
500 _aFormato Vancouver: Sáez de la Fuente I, Sáez de la Fuente J, Quintana Estelles MD, García Gigorro R, Terceros Almanza LJ, Sánchez Izquierdo JA et al. Enteral Nutrition in Patients Receiving Mechanical Ventilation in a Prone Position. JPEN J Parenter Enteral Nutr. 2016 Feb;40(2):250-5.
501 _aPMID: 25274497
504 _aContiene 38 referencias
520 _aBackground: Patients treated with mechanical ventilation in the prone position (PP) could have an increased risk for feeding intolerance. However, the available evidence supporting this hypothesis is limited and contradictory. Objective: To examine the feasibility and efficacy of enteral nutrition (EN) support and its associated complications in patients receiving mechanical ventilation in PP. Methods: Prospective observational study including 34 mechanically ventilated intensive care patients who were turned to the prone position over a 3-year period. End points related to efficacy and safety of EN support were studied. Results: In total, more than 1200 patients were admitted to the intensive care unit over a period of 3 years. Of these, 34 received mechanical ventilation in PP. The mean days under EN were 24.7 ± 12.3. Mean days under EN in the supine position were significantly higher than in PP (21.1 vs 3.6; P < .001), but there were no significant differences in gastric residual volume adjusted per day of EN (126.6 vs 189.2; P = .054) as well as diet volume ratio (94.1% vs 92.8%; P = .21). No significant differences in high gastric residual events per day of EN (0.06 vs 0.09; P = .39), vomiting per day of EN (0.016 vs 0.03; P = .53), or diet regurgitation per day of EN (0 vs 0.04; P = .051) were found. Conclusions: EN in critically ill patients with severe hypoxemia receiving mechanical ventilation in PP is feasible, safe, and not associated with an increased risk of gastrointestinal complications. Larger studies are needed to confirm these findings.
710 _967
_aServicio de Medicina Intensiva
856 _uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/1/pc17780.pdf
_ySolicitar documento
942 _2ddc
_cART
_n0