Vasopressors and Nutrition Therapy: Safe Dose for the Outset of Enteral Nutrition?
Joint Authors
Simões Covello, Luís Henrique
Gava-Brandolis, Marcella Giovana
Castro, Melina Gouveia
Dos Santos Netos, Martins Fidelis
Manzanares, William
Toledo, Diogo Oliveira
Source
Critical Care Research and Practice
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-02-10
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background and Aims.
Patients with hemodynamic instability need to receive intensive treatment as fluid replacement and vasoactive drugs.
In the meantime, it is supposed to initiate nutritional therapy within 24 to 48 hours after admission to the intensive care unit (ICU), as an essential part of patient’s intensive care and better outcomes.
However, there are many controversies tangential to the prescription of enteral nutrition (EN) concomitant to the use of vasopressor and its doses.
In this way, the present study aimed to identify what the literature presents of evidence to guide the clinical practice concerning the safe dose of vasopressors for the initiation of nutritional therapy in critically ill patients.
Methods.
This review was carried out in PubMed, ProQuest, Web of Science, and Medline databases.
The descriptors were used to perform the search strategy: Critical Care, Intensive Care Units, Vasoconstrictor Agents, and Enteral Nutrition.
Inclusion criteria were patients of both genders, over 18 years of age, using vasoactive drugs, with the possibility of receiving EN therapy, and articles written in English, Portuguese, and Spanish.
In addition, exclusion criteria were case reports, non-papers, and repeated papers.
Results.
10 articles met our inclusion criteria.
Conclusion.
It was observed that there are many controversies about the supply of EN in critically ill patients using vasopressor, especially about the safe dose, and it was not possible to identify a cutoff value for the beginning therapy.
Despite the drug doses, clinical signs are still the most important parameters in the evaluation of EN tolerance.
American Psychological Association (APA)
Simões Covello, Luís Henrique& Gava-Brandolis, Marcella Giovana& Castro, Melina Gouveia& Dos Santos Netos, Martins Fidelis& Manzanares, William& Toledo, Diogo Oliveira. 2020. Vasopressors and Nutrition Therapy: Safe Dose for the Outset of Enteral Nutrition?. Critical Care Research and Practice،Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1138496
Modern Language Association (MLA)
Simões Covello, Luís Henrique…[et al.]. Vasopressors and Nutrition Therapy: Safe Dose for the Outset of Enteral Nutrition?. Critical Care Research and Practice No. 2020 (2020), pp.1-7.
https://search.emarefa.net/detail/BIM-1138496
American Medical Association (AMA)
Simões Covello, Luís Henrique& Gava-Brandolis, Marcella Giovana& Castro, Melina Gouveia& Dos Santos Netos, Martins Fidelis& Manzanares, William& Toledo, Diogo Oliveira. Vasopressors and Nutrition Therapy: Safe Dose for the Outset of Enteral Nutrition?. Critical Care Research and Practice. 2020. Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1138496
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1138496