Early enteral nutrition can be successfully implemented in trauma patients with an "open abdomen"

被引:43
作者
Byrnes, Matthew C. [1 ,2 ]
Reicks, Patty [1 ]
Irwin, Eric [1 ]
机构
[1] N Mem Med Ctr, Dept Trauma, Robbinsdale, MN USA
[2] Univ Minnesota, Div Surg Crit Care, Minneapolis, MN USA
关键词
Open abdomen; Enteral nutrition; Damage control; ABDOMINAL COMPARTMENT SYNDROME; DAMAGE-CONTROL LAPAROTOMY; MANAGEMENT; SURGERY; SUPPORT;
D O I
10.1016/j.amjsurg.2009.08.033
中图分类号
R61 [外科手术学];
学科分类号
摘要
BACKGROUND: The presence of an "open abdomen" after a trauma laparotomy can complicate the nutritional management of injured patients. METHODS: The medical records of patients admitted to an American College of Surgeons verified level 1 trauma center were evaluated. The timing of nutritional support was noted. The method to obtain abdominal closure was also noted. RESULTS: Twenty-three patients were included in the study. Enteral nutrition was successfully initiated in 52% of patients before fascial closure. Enteral nutrition was initiated 3.8 days after the initial laparotomy in these patients. All patients successfully achieved fascial and skin closure, obviating the need for delayed hernia repair or skin grafting. CONCLUSIONS: Enteral nutrition can be successfully initiated in patients with "open abdomens." In our series, early enteral nutrition did not alter our ability to ultimately obtain fascial and skin closure. (C) 2010 Elsevier Inc. All rights reserved.
引用
收藏
页码:359 / 362
页数:4
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