[Evaluation of the complications of the use of enteral diet with fiber in critical patients].
Our proposal consisted of analyzing whether the use of diets with fibre in the enteral nutrition (EN) of critical patients had an effect on the incidence of diarrhoea and vomiting, which are frequent complications in EN via nasogastric tube. For this purpose, in 1990 we followed a uniform EN protocol in our polyvalent I.C.U. A prospective analysis was made of a group of patients on a fibre diet (n = 30). The results were compared with those obtained in a previous group on a non-fibre diet (n = 42). Both groups were homogeneous with regard to age, date of initiation of the EN, duration of the diet and reason for ceasing the diet. We observed an incidence of diarrhoea (8/22 in the fibre group, compared to 5/37 in the non-fibre group, P + NS) and an increase in gastric residue (8/22 compared to 8/34, p = NS) which was similar in both groups. Incidence of vomiting was higher in the fibre group (7/23 compared to 0/42, P less than 0.01), perhaps due to a higher volume administered in the fibre group (1,001.7 +/- 176 compared to 679.2 +/- 210, P less than 0.001), although there were no cases of clinically significant bronchoaspiration. In conclusion, we can say that incidence of diarrhoea was similar in both groups, as well as the increase in gastric residue, despite a considerably higher volume administered in the fibre group. Incidence of vomiting was higher in the fibre group, with no cases of clinically significant bronchoaspiration.(ABSTRACT TRUNCATED AT 250 WORDS)
Lozano Quintana
M J
MJ
Departamento de Medicina Intensiva, Hospital Doce de Octubre, Madrid.
Sánchez-Izquierdo Riera
J A
JA
D000328:Adult; D000368:Aged; D016638:Critical Illness / Q000451:nursing; D003967:Diarrhea / Q000209:etiology*; D004043:Dietary Fiber / Q000009:adverse effects*; D004750:Enteral Nutrition / Q000379:methods*; D006801:Humans; D008875:Middle Aged
Valoración de las complicaciones del uso de dieta enteral con fibra en pacientes críticos.