Chandankhede Shweta R, Kulkarni Atul P
Department of Critical Care Medicine, Care Hospitals, Banjara Hills, Hyderabad, Telangana, India.
Division of Critical Care Medicine, Department of Anaesthesiology, Critically Care and Pain, Tata Memorial Hospital, Homi Bhabha National Institute, Parel, Mumbai, Maharashtra, India.
Indian J Crit Care Med. 2020 Sep;24(Suppl 4):S168-S174. doi: 10.5005/jp-journals-10071-23618.
Acute intestinal failure (AIF), "reduction of gut function below the minimum necessary for the absorption of macronutrients and/or water and electrolytes, requiring parenteral nutrition", is common, but very often neglected part of multiorgan dysfunction syndrome (MODS) in the critically ill patients. It is now increasingly being recognized as a cause of prolonged ICU and hospital stay and poor outcome. Multidisciplinary team approach, systematic approach to management with treatment of sepsis, early mobilization and enteral feeding with prokinetics if required, control of intra-abdominal pressure and surgical intervention, when mandated, can help treat AIF and improve patient outcomes. Chandankhede SR, Kulkarni AP. Acute Intestinal Failure. Indian J Crit Care Med 2020;24(Suppl 4):S168-S174.
急性肠衰竭（AIF），即“肠道功能降至吸收大量营养素和/或水及电解质所需的最低水平以下，需要肠外营养”，是危重症患者多器官功能障碍综合征（MODS）中常见但常被忽视的部分。现在它越来越被认为是导致重症监护病房（ICU）住院时间延长、住院时间延长和预后不良的原因。多学科团队方法、系统的管理方法，包括治疗脓毒症、早期活动以及必要时使用促动力药进行肠内喂养、控制腹腔内压力和在必要时进行手术干预，有助于治疗急性肠衰竭并改善患者预后。Chandankhede SR，Kulkarni AP。急性肠衰竭。《印度重症监护医学杂志》2020年；24（增刊4）：S168 - S174。
