RT Book, Section
A1 Becher, Robert D.
A1 Davis, Kimberly A.
A2 Feliciano, David V.
A2 Mattox, Kenneth L.
A2 Moore, Ernest E.
SR Print(0)
ID 1175137360
T1 Nutritional Support and Electrolyte Management
T2 Trauma, 9e
YR 2020
FD 2020
PB McGraw Hill
PP New York, NY
SN 9781260143348
LK accesssurgery.mhmedical.com/content.aspx?aid=1175137360
RD 2024/04/23
AB KEY  POINTSNutritional  therapy  should  be  integrated  into  the  overall  management  of  all  trauma,  surgery,  and  critically  ill  patients.Nutritional  needs  and  requirements  are  different  in  healthy  patients  compared  to  the  critically  ill  and  severely  injured,  hypermetabolic  trauma  patients.Early  enteral/oral  feeding  is  a  proactive  therapeutic  strategy  that  may  reduce  disease  severity,  decrease  complications,  and  favorably  impact  outcomes.Enteral/oral  feeding  is  the  preferred  mode  of  nutrition  for  trauma,  surgical,  and  critically  ill  patients.Early  parenteral  nutrition  should  be  considered  if  enteral  feeds  are  contraindicated  or  are  not  expected  to  be  started  for  3  days.Avoid  long  periods  without  enteral  or  parenteral  nutrition..Underfeeding  during  the  stress-related  catabolic  phase  or  the  immediate  postoperative  period  is  a  risk  factor  for  complications.