Brown Terry, Touger-Decker Riva, Roberts Susan, Reed Diane, Matarese Laura
Department of Clinical and Preventive Nutrition Sciences, Rutgers School of Health Professions, Newark, New Jersey (Ms Brown and Dr Touger-Decker); HealthTrust Supply Chain, Food and Nutrition Services, Coppell, Texas (Mr Brown); Keiser University, Melbourne, Florida (Dr Roberts); Medical City Dallas Hospital, Food and Nutrition Services, Dallas, Texas (Ms Reed); Department of Internal Medicine, East Carolina University, Greenville, North Carolina (Dr Matarese); and Rutgers University, Newark, New Jersey (Dr Matarese).
Top Clin Nutr. 2022 Jul-Sep;37(3):218-226. doi: 10.1097/TIN.0000000000000285. Epub 2022 Jun 22.
Adults with acute respiratory distress syndrome (ARDS) may experience enteral nutrition (EN) intolerance. They often require mechanical ventilation and other specialized management including prone positioning. There is a controversy as to whether patients fed in prone position experience more EN intolerance than when they are in supine position. This narrative review synthesizes the literature published between 2001 and 2021 in adults with ARDS who are fed EN while in the prone position to determine safety and tolerance. A case of an adult patient with Down syndrome who developed ARDS due to COVID-19 and required EN while in prone position is presented.
患有急性呼吸窘迫综合征（ARDS）的成年人可能会出现肠内营养（EN）不耐受。他们通常需要机械通气和其他特殊管理，包括俯卧位。对于处于俯卧位的患者相比仰卧位时是否会经历更多的EN不耐受存在争议。这篇叙述性综述综合了2001年至2021年间发表的关于患有ARDS的成年人在俯卧位时接受肠内营养的文献，以确定安全性和耐受性。文中还介绍了一名因新冠肺炎而患上ARDS并在俯卧位时需要肠内营养的成年唐氏综合征患者的病例。
