Early enteral feeding of patients with multiple trauma.
The case study illustrates the recovery of a patient with multiple trauma who was fed a peptide-based formula via the enteral route soon after the trauma. Although the clinical course might have been worse if D.H. had not received this treatment, his generally excellent recovery might be partly attributable to this therapy. Although stress hypermetabolism occurs in most patients with multiple trauma within 48 hours after injury, no known treatment can arrest or reverse this problem. However, the lethal catabolic and septic effects of stress hypermetabolism can be at least partly thwarted through delivery of enteral nutrients within 72 hours after trauma.
Cheever
K H
KH
Department of Nursing and Health, Allentown College, St Francis de Sales, Center Valley, Pa., USA.
D000328:Adult; D003422:Critical Care / Q000379:methods*; D004734:Energy Metabolism; D004750:Enteral Nutrition / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods* / Q000451:nursing*; D006801:Humans; D008297:Male; D009102:Multiple Organ Failure / Q000209:etiology; D009104:Multiple Trauma / Q000150:complications / Q000378:metabolism / Q000628:therapy*; D009730:Nursing Assessment; D015596:Nutrition Assessment; D009751:Nutritional Requirements; D010347:Patient Care Planning; D018746:Systemic Inflammatory Response Syndrome / Q000209:etiology; D013997:Time Factors