Nutritional therapy in extracorporeal life support

Authors

  • Victoria Matilde Rebagliati english

DOI:

https://doi.org/10.35454/rncm.v4n3.237

Keywords:

Nutrition medical therapy, Mechanical circulatory assistance, Extra-corporeal oxygenation, Undernutrition

Abstract

Patients that need extracorporeal life support are amongst the most critically ill in the intensive care unit (ICU). It is known that undernutrition in critical patients may reduce ventilator-free days, extend the length of stay, increase mortality and long-term complications. However, as extracorporeal oxygenation is a rather new tecnique, there is not enough evidence about nutrition, and that causes fear when these patients are artificially fed. The following review intends to answer doubts concerning nutrition therapy based on scientific evidence and the experience of a cardiovascular institute. Nutrition therapy must be carried out within interdisciplinary work between the nutritionist, doctor and nurse, so that with everyone’s effort then nutritional targets may be accomplished and help to prevent undernutrition.

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Author Biography

Victoria Matilde Rebagliati, english

Lic. en Nutrición y Profesora Universitaria

Coordinadora de Internación y Soporte Nutricional en el Instituto Cardiovascular de Buenos Aires

Profesor Titular de Soporte Nutricional en la universidad Católica de la Plata

Coordinadora del Grupo de Estudio "Paciente Crítico" en la Asociación Argentina de Nutrición Enteral y Parenteral

Ex-Directora del Capítulo de Lic. en Nutrición de la Sociedad Argentina de Terapia Intensiva

References

Chauhan S, Subin S. Extracorporeal membrane oxygenation-An anesthesiologist’s perspective-Part II: Clinical and technical consideration. Ann Card Anaesth. 2012;15(1):69-82. doi: 10.4103/0971-9784.91485

de Chambrun MC, Bréchot N, Combes A. Venoarterial extracorporeal membrane oxygenation in cardiogenic shock: indications, mode of operation, and current evidence. Curr Opin Crit Care. 2019;25(4):397-402. doi: 10.1097/MCC.0000000000000627

Stoppe C, Nesterova E, Elke G. Nutritional support in patients with extracorporeal life support and ventricular assist devices. Curr Opin Crit Care. 2018;24(4):269-76. doi: 10.1097/MCC.0000000000000512

Extracorporeal Life Support Organization (ELSO). General Guidelines for all ECLS Cases [Internet]; 2017 [consultado el 28 de junio de 2018]. Disponible en: https://www.elso.org/Portals/0/ELSO%20Guidelines%20General%20All%20ECLS%20Version%201_4.pdf

Blaser AR, Starkopf J, Alhazzani W, Berger MM, Casaer MP, Deane AM, et al. Early enteral nutrition in critically ill patients: ESICM clinical practice guidelines. Intensive Care Med. 2017;43(3):380-98. doi: 10.1007/s00134-016-4665-0

Weimann A, Braga M, Carli F, Higashiguchi T, Hübner M, Klek S, et al. ESPEN guideline: Clinical nutrition in surgery. 2017;36(3):623-50. doi: 10.1016/j.clnu.2017.02.013

Ohbe H, Jo T, Yamana H, Matsui H, Fushimi K, Yasunaga H. Early enteral nutrition for cardiogenic or obstructive shock requiring venoarterial extracorporeal membrane oxygenation: a nationwide inpatient database study. Intensive Care Med. 2018;44(8):1258-65. doi: 10.1007/s00134-018-5319-1

Ferrie S, Herkes R, Forrest P. Nutrition support during extracorporeal membrane oxygenation (ECMO) in adults: a retrospective audit of 86 patients. Intensive Care Med. 2013;39(11):1989-94. doi: 10.1007/s00134-013-3053-2

Lukas G, Davies AR, Hilton AK, Pellegrino VA, Scheinkestel CD, Ridley E. Nutritional support in adult patients receiving extracorporeal membrane oxygenation. Crit Care Resusc. 2010;12(4):230-4.

McClave SA, Taylor BE, Martindale RG, Warren MM, Johnson DR, Braunschweig C, et al. Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically ill Patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.). JPEN J Parenter Enteral Nutr. 2016;40(2):159-211. doi: 10.1177/0148607115621863

MacGowan L, Smith E, Elliott-Hammond C, Sanderson B, Ong D, Daly K, et al. Adequacy of nutrition support during extracorporeal membrane oxygenation. Clin Nutr. 2019;38(1):324-31. doi: 10.1016/j.clnu.2018.01.012

Ni L, Chen Q, Zhu K, Shi J, Shen J, Gong J, et al. The influence of extracorporeal membrane oxygenation therapy on intestinal mucosal barrier in a porcine model for post-traumatic acute respiratory distress syndrome. J Cardiothorac Surg. 2015;10:20. doi: 10.1186/s13019-015-0211-3

Zhao L, Luo L, Chen J, Xiao J, Jia W, Xiao Y. Utilization of extracorporeal membrane oxygenation alleviates intestinal ischemia–reperfusion injury in prolonged hemorrhagic shock animal model. Cell Biochem Biophys. 2014;70(3):1733-40. doi: 10.1007/s12013-014-0121-3

Wollersheim T, Müller MC, Weber-Carstens S. ECMO patients. En: Berger MM. Critical Care Nutrition Therapy for Non-nutritionists. Suiza: Springer; 2018. p. 29-39. doi: 10.1007/978-3-319-58652-6

Wollersheim T, Frank S, Müller MC, Skrypnikov V, Carbon NM, Pickerodt PA, et al. Measuring Energy Expenditure in Extracorporeal Lung Support Patients (MEEP)-Protocol, Feasibility and Pilot Trial. Clin Nutr. 2018;37(1):301-7. doi: 10.1016/j.clnu.2017.01.001

De Waele E, van Zwam K, Mattens S, Staessens K, Diltoer M, Honoré PM, et al. Measuring resting energy expenditure during extracorporeal membrane oxygenation: preliminary clinical experience with a proposed theoretical model. Acta Anaesthesiol Scand. 2015;59(10):1296-1302. doi: 10.1111/aas.12564

Pelekhaty SL, Galvagno Jr SM, Lantry JH, Dolly KN, Herr DL, Kon ZN, et al. Are Current Protein Recommendations for the Critically ill Adequate for Patients on VV ECMO: Experience from a High-Volume Center. JPEN J Parenter Enteral Nutr. 2020;44(2):220-6. doi: 10.1002/jpen.1602

Bear DE, Smith E, Barrett NA. Nutrition Support in Adult Patients Receiving Extracorporeal Membrane Oxygenation. Nutr Clin Pract. 2018;33(6):738-46. doi: 10.1002/ncp.10211

Estensen K, Shekar K, Robins E, McDonald C, Barnett AG, Fraser JF. Macro- and micronutrient disposition in an ex vivo model of extracorporeal membrane oxygenation. Intensive Care Med Exp. 2014;2(1):29. doi: 10.1186/s40635-014-0029-7

Published

2021-03-22

How to Cite

Rebagliati, V. M. (2021). Nutritional therapy in extracorporeal life support. Journal Clinical Nutrition and Metabolism, 4(3), 130–135. https://doi.org/10.35454/rncm.v4n3.237

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