Comparison of nutritional adequacy in adult patients with acute respiratory distress syndrome with and without veno-venous extracorporeal membrane oxygenation: a single-center experience

Gülbahar Çalışkan; Nermin Kelebek Girgin

Article Details

Comparison of nutritional adequacy in adult patients with acute respiratory distress syndrome with and without veno-venous extracorporeal membrane oxygenation: a single-center experience

Authors:

Gülbahar Çalışkan | Nermin Kelebek Girgin

Publisher:

Prusa Medical Publishing

Main Topics:

Intensive Care

Journal:

The European Research Journal Vol.9 Issue 5, pp.1114-1123

Document Type:

Article

Publication Date:

4/2023

Document Language:

English

Document ID (Org No.):

2001288121

pISSN:

2149-3189

Keywords:

Abstract:

 Objectives: Limited data is available regarding nutrition practices for patients with acute respiratory distress syndrome ARDS who are also receiving veno-venous-extracorporeal membrane oxygenation VV-ECMO. The aim of the study was to describe the nutritional status of patients receiving VV-ECMO and compared with those who did not. Methods: Patients 18 years-old diagnosed with ARDS who received VV-ECMO 72 hours were included in this retrospective study. The daily achievement of an energy target  and average protein intake during 2 weeks after initiation of VV-ECMO were calculated. Adequate feeding was defined as achieving 80-110 of the calculated target. The duration before initiating parenteral PN and enteral nutrition EN, feeding route, length of intensive care, and hospital stay were evaluated. Data was compared between groups. Results: In this study, 24 patients were included, of whom 12 received VV-ECMO. EN was started in a median 1.5 and 1 days in the VV-ECMO and non-ECMO groups, respectively. In the VV-ECMO group, 75 of the patients could achieve nutritional adequacy 80 energy goal and 83.3 in the non-ECMO group  p  0.615. PN being required in 4 33.3 patients who received VV-ECMO and 3 25 patients who did not  p  0254. Ten of all patients experienced inadequate EN because of hemodynamic instability n  3, prone position n4, gastric distension n  2 and diarrhea n  1. Conclusions: VV-ECMO was not an obstacle for adequate nutrition, but prone position and hemodynamic instability were common causes of enteral feeding interruptions and inadequate energy delivery.

 Objectives: Limited data is available regarding nutrition practices for patients with acute respiratory distress syndrome ARDS who are also receiving veno-venous-extracorporeal membrane oxygenation VV-ECMO. The aim of the study was to describe the nutritional status of patients receiving VV-ECMO and compared with those who did not. Methods: Patients 18 years-old diagnosed with ARDS who received VV-ECMO 72 hours were included in this retrospective study. The daily achievement of an energy target  and average protein intake during 2 weeks after initiation of VV-ECMO were calculated. Adequate feeding was defined as achieving 80-110 of the calculated target. The duration before initiating parenteral PN and enteral nutrition EN, feeding route, length of intensive care, and hospital stay were evaluated. Data was compared between groups. Results: In this study, 24 patients were included, of whom 12 received VV-ECMO. EN was started in a median 1.5 and 1 days in the VV-ECMO and non-ECMO groups, respectively. In the VV-ECMO group, 75 of the patients could achieve nutritional adequacy 80 energy goal and 83.3 in the non-ECMO group  p  0.615. PN being required in 4 33.3 patients who received VV-ECMO and 3 25 patients who did not  p  0254. Ten of all patients experienced inadequate EN because of hemodynamic instability n  3, prone position n4, gastric distension n  2 and diarrhea n  1. Conclusions: VV-ECMO was not an obstacle for adequate nutrition, but prone position and hemodynamic instability were common causes of enteral feeding interruptions and inadequate energy delivery.

 Objectives: Limited data is available regarding nutrition practices for patients with acute respiratory distress syndrome ARDS who are also receiving veno-venous-extracorporeal membrane oxygenation VV-ECMO. The aim of the study was to describe the nutritional status of patients receiving VV-ECMO and compared with those who did not. Methods: Patients 18 years-old diagnosed with ARDS who received VV-ECMO 72 hours were included in this retrospective study. The daily achievement of an energy target  and average protein intake during 2 weeks after initiation of VV-ECMO were calculated. Adequate feeding was defined as achieving 80-110 of the calculated target. The duration before initiating parenteral PN and enteral nutrition EN, feeding route, length of intensive care, and hospital stay were evaluated. Data was compared between groups. Results: In this study, 24 patients were included, of whom 12 received VV-ECMO. EN was started in a median 1.5 and 1 days in the VV-ECMO and non-ECMO groups, respectively. In the VV-ECMO group, 75 of the patients could achieve nutritional adequacy 80 energy goal and 83.3 in the non-ECMO group  p  0.615. PN being required in 4 33.3 patients who received VV-ECMO and 3 25 patients who did not  p  0254. Ten of all patients experienced inadequate EN because of hemodynamic instability n  3, prone position n4, gastric distension n  2 and diarrhea n  1. Conclusions: VV-ECMO was not an obstacle for adequate nutrition, but prone position and hemodynamic instability were common causes of enteral feeding interruptions and inadequate energy delivery.

 Objectives: Limited data is available regarding nutrition practices for patients with acute respiratory distress syndrome ARDS who are also receiving veno-venous-extracorporeal membrane oxygenation VV-ECMO. The aim of the study was to describe the nutritional status of patients receiving VV-ECMO and compared with those who did not. Methods: Patients 18 years-old diagnosed with ARDS who received VV-ECMO 72 hours were included in this retrospective study. The daily achievement of an energy target  and average protein intake during 2 weeks after initiation of VV-ECMO were calculated. Adequate feeding was defined as achieving 80-110 of the calculated target. The duration before initiating parenteral PN and enteral nutrition EN, feeding route, length of intensive care, and hospital stay were evaluated. Data was compared between groups. Results: In this study, 24 patients were included, of whom 12 received VV-ECMO. EN was started in a median 1.5 and 1 days in the VV-ECMO and non-ECMO groups, respectively. In the VV-ECMO group, 75 of the patients could achieve nutritional adequacy 80 energy goal and 83.3 in the non-ECMO group  p  0.615. PN being required in 4 33.3 patients who received VV-ECMO and 3 25 patients who did not  p  0254. Ten of all patients experienced inadequate EN because of hemodynamic instability n  3, prone position n4, gastric distension n  2 and diarrhea n  1. Conclusions: VV-ECMO was not an obstacle for adequate nutrition, but prone position and hemodynamic instability were common causes of enteral feeding interruptions and inadequate energy delivery.

Article Details

Comparison of nutritional adequacy in adult patients with acute respiratory distress syndrome with and without veno-venous extracorporeal membrane oxygenation: a single-center experience

Authors:

Gülbahar Çalışkan | Nermin Kelebek Girgin

Publisher:

Prusa Medical Publishing

Main Topics:

Intensive Care

Journal:

The European Research Journal Vol.9 Issue 5, pp.1114-1123

Document Type:

Article

Publication Date:

4/2023

Document Language:

English

Document ID (Org No.):

2001288121

pISSN:

2149-3189

Acute respiratory distress syndrome

veno-venous-extracorporeal membrane oxygenation

nutrition

enteral

parenteral

critically ill

Issues

Article Details

Comparison of nutritional adequacy in adult patients with acute respiratory distress syndrome with and without veno-venous extracorporeal membrane oxygenation: a single-center experience

Authors: Gülbahar Çalışkan | Nermin Kelebek Girgin

Publisher: Prusa Medical Publishing

Main Topics: Intensive Care

Journal: The European Research Journal Vol.9 Issue 5, pp.1114-1123

Document Type: Article

Publication Date: 4/2023

Document Language: English

Document ID (Org No.): 2001288121

pISSN: 2149-3189

Acute respiratory distress syndrome

veno-venous-extracorporeal membrane oxygenation

nutrition

enteral

parenteral

critically ill

Issues

Authors:

Gülbahar Çalışkan | Nermin Kelebek Girgin

Publisher:

Prusa Medical Publishing

Main Topics:

Intensive Care

Journal:

The European Research Journal Vol.9 Issue 5, pp.1114-1123

Document Type:

Article

Publication Date:

4/2023

Document Language:

English

Document ID (Org No.):

2001288121

pISSN:

2149-3189