THE IMPACT OF EARLY ENTERAL NUTRITION AND LATE ENTERAL NUTRITION IN CRITICALLY ILL PATIENTS

Ayu Prawesti

Abstract


Critical patients are patients who experience instability of physiological conditions and changes in organ function that can cause organ damage and death. Critical patients in the Intensive Care Unit (ICU) room mostly experience organ failure, mechanical ventilation, and postoperative major surgery (laparotomy). One that must be considered in critical patients is the fulfillment of nutritional needs. Early nutrition is very important to remove dependence on the ventilator, accelerate the healing process and shorten the length of treatment. This paper aims to conduct a literature review on the impact of early enteral nutrition (EEN) on critical patients. The literature of this review is based on a search on google schollar with the keyword early enteral nutrition, delayed enteral nutrition and critically ill patients. Articles obtained are articles that have been published from 2006 - 2015. Four studies presented the impact of early enteral nutrition on ICU mortality, duration of mechanical ventilation use, and clinical outcomes improvement. Three other journals discussed the impact of early nutrition on the ability to tolerate the intake of nutrients obtained. Research articles in this literature review using several types of research methods, namely observational study design, Comparison study and quasy experiment. Early enteral nutrition leads to reduced length of stay, death rates in ICU and in hospitals, decreased duration of mechanical ventilator use, and increased clinical outcomes compared with delayed enteral nutrition. Critical patients with post laparotomy that EEN has a higher tolerance to food compared with patients given delayed enteral nutrition. Early delivery of nutrition (early enteral nutrition) is recommended in critical patients without contraindications. Immunomodulatory effects of food can help speed up the recovery process

Keywords


Critically Ill Patients, delayed enteral nutrition, Early Enteral Nutrition

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References


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