Feeding the postoperative patient on vasopressor support: Feeding and pressor support

Brandon R. Bruns, Rosemary A. Kozar

Research output: Contribution to journalReview articlepeer-review

8 Scopus citations

Abstract

Initiating enteral nutrition in the postoperative patient can be challenging. Postoperative ileus and bowel edema, bowel anastomosis, and intra-abdominal pathology contribute to the reluctance and inability to achieve adequate nutrition in this patient population. The addition of vasopressors confounds the difficulties. Clinical data are sparse but suggest that most postoperative patients requiring vasopressor therapy can be safely initiated and advanced on enteral nutrition. Consideration of the vasopressor agent being utilized and its dose is imperative, as are individual patient characteristics. Temporal changes in the dosage should be closely monitored, as increasing doses may reflect worsening clinical status that can be due to intestinal ischemia. Well-designed prospective trials are clearly necessary to address this controversial topic.

Original languageEnglish (US)
Pages (from-to)14-17
Number of pages4
JournalNutrition in Clinical Practice
Volume31
Issue number1
DOIs
StatePublished - Feb 1 2016
Externally publishedYes

Keywords

  • critical care
  • critical illness
  • enteral nutrition
  • intensive care units
  • nonocclusive bowel necrosis
  • postoperative care
  • vasoconstrictor agents
  • vasopressors

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics

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