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Critical care nutrition: getting involved as a gastrointestinal endoscopist.
J Clin Gastroenterol. 2006 Nov-Dec; 40(10):870-90.JC

Abstract

The route, timing, and volume of enteral feeding delivered to a patient in the intensive care unit have a profound effect on clinical outcome. At the height of critical illness, problems with ileus, aspiration, and the systemic inflammatory response syndrome make the provision of enteral nutrients a difficult and somewhat risky endeavor. The gastrointestinal endoscopist has the technical skills to place feeding tubes deep within the jejunum and an underlying expertise in gut physiology to monitor patients effectively once feeds are initiated. Attention to detail in the techniques for attaining enteral access, early identification of potential problems, and quick institution of simple endoscopic strategies help improve delivery of nutrition support, minimize the likelihood for in-hospital complications, and optimize patient outcome.

Authors+Show Affiliations

Department of Medicine, University of Louisville School of Medicine, Louisville, KY, USA. Stephen.McClave@louisville.edu

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

17063105

Citation

McClave, Stephen A.. "Critical Care Nutrition: Getting Involved as a Gastrointestinal Endoscopist." Journal of Clinical Gastroenterology, vol. 40, no. 10, 2006, pp. 870-90.
McClave SA. Critical care nutrition: getting involved as a gastrointestinal endoscopist. J Clin Gastroenterol. 2006;40(10):870-90.
McClave, S. A. (2006). Critical care nutrition: getting involved as a gastrointestinal endoscopist. Journal of Clinical Gastroenterology, 40(10), 870-90.
McClave SA. Critical Care Nutrition: Getting Involved as a Gastrointestinal Endoscopist. J Clin Gastroenterol. 2006 Nov-Dec;40(10):870-90. PubMed PMID: 17063105.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Critical care nutrition: getting involved as a gastrointestinal endoscopist. A1 - McClave,Stephen A, PY - 2006/10/26/pubmed PY - 2007/2/3/medline PY - 2006/10/26/entrez SP - 870 EP - 90 JF - Journal of clinical gastroenterology JO - J Clin Gastroenterol VL - 40 IS - 10 N2 - The route, timing, and volume of enteral feeding delivered to a patient in the intensive care unit have a profound effect on clinical outcome. At the height of critical illness, problems with ileus, aspiration, and the systemic inflammatory response syndrome make the provision of enteral nutrients a difficult and somewhat risky endeavor. The gastrointestinal endoscopist has the technical skills to place feeding tubes deep within the jejunum and an underlying expertise in gut physiology to monitor patients effectively once feeds are initiated. Attention to detail in the techniques for attaining enteral access, early identification of potential problems, and quick institution of simple endoscopic strategies help improve delivery of nutrition support, minimize the likelihood for in-hospital complications, and optimize patient outcome. SN - 0192-0790 UR - https://www.unboundmedicine.com/medline/citation/17063105/Critical_care_nutrition:_getting_involved_as_a_gastrointestinal_endoscopist_ DB - PRIME DP - Unbound Medicine ER -