Nutrition Support in Adult Patients Receiving Extracorporeal Membrane Oxygenation.
Danielle E BearElizabeth SmithNicholas A BarrettPublished in: Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition (2018)
The use of extracorporeal membrane oxygenation (ECMO) for both severe respiratory and cardiac failure is increasing. Because these patients are some of the sickest in the intensive care unit, a multidisciplinary approach to their treatment, including appropriate nutrition therapy, is warranted. Currently, limited data exist on the optimal timing, type, and amount of nutrition to be provided. This review focuses on describing the current nutrition practices in patients receiving ECMO, details research that is currently being undertaken, and lists important research questions that require exploration in this field. Observational data suggest that early enteral nutrition is safe and that although nutrition targets can be met, underfeeding is still common. Until further research is available, these patients should be fed according to guidelines for the general critically unwell population.
Keyphrases
- extracorporeal membrane oxygenation
- acute respiratory distress syndrome
- physical activity
- end stage renal disease
- respiratory failure
- ejection fraction
- newly diagnosed
- chronic kidney disease
- healthcare
- mechanical ventilation
- primary care
- peritoneal dialysis
- electronic health record
- big data
- patient reported outcomes
- deep learning
- machine learning
- cross sectional
- patient reported
- quality improvement
- left ventricular
- cell therapy
- drug induced