Safety, Tolerability, and Outcomes of Enteral Nutrition in Extracorporeal Membrane Oxygenation.
Robert C DavisLucian A DurhamLaszlo KiralyJayshil J PatelPublished in: Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition (2020)
Extracorporeal membrane oxygenation (ECMO) is a supportive care system for patients with respiratory or cardiac failure. Patients requiring ECMO are at risk for significant inflammation, prolonged hospitalization, and acquired malnutrition and sarcopenia. Societal guidelines recommend early enteral nutrition in critically ill patients; however, in this population, optimal timing and dose of nutrition remains unknown and fear of reduced splanchnic perfusion, delayed gastric emptying, and bowel ischemia poses a barrier to appropriate energy and protein intake. This narrative review intends to provide an overview of ECMO, highlight the rationale for nutrition support in this population, and review the safety, tolerability, and outcomes associated with enteral nutrition during ECMO.
Keyphrases
- extracorporeal membrane oxygenation
- acute respiratory distress syndrome
- physical activity
- respiratory failure
- healthcare
- mechanical ventilation
- ejection fraction
- end stage renal disease
- skeletal muscle
- type diabetes
- heart failure
- metabolic syndrome
- adipose tissue
- quality improvement
- body mass index
- small molecule
- prognostic factors
- magnetic resonance
- pain management
- clinical practice
- double blind
- chronic pain
- protein protein
- placebo controlled