Nurition and Mechanical Ventilation: a Review Article
Taufiq Gemawan
Department of Anesthesia and Intensive Therapy, Faculty of Medicine, University of Jember – Regional Hospital dr. Soebandi Jember, Indonesia
Adelia Handoko
Department of Physiology, Faculty of Medicine, University of Jember, Indonesia
Dimas Zabirurrohman Putra
Student at the Faculty of Medicine, University of Jember – Dr. Regional Hospital. Soebandi Jember, Indonesia
Ramzi Setyo Karyanto
Student at the Faculty of Medicine, University of Jember – Dr. Regional Hospital. Soebandi Jember, Indonesia
Nur A’mala Dewi
Student at the Faculty of Medicine, University of Jember – Dr. Regional Hospital. Soebandi Jember, Indonesia
Muhamad Rizal Hadi Pratama
Internship Doctor of Mojowarno Hospital Jombang, Indonesia
Eny Nurmaida
Public Health Department, Faculty of Medicine, University of Jember, Indonesia
Arsyzilma Hakiim
Public Health Department, Faculty of Medicine, University of Jember, Indonesia
Sheilla Rachmania
Department of Histology, Faculty of Medicine, University of Jember, Indonesia
Keywords:
Critical illness, intensive care unit, mechanical ventilation, nutrition
Abstract
Patients with critical illnesses are frequently need mechanical ventilation as part of their care, in addition to or instead of spontaneous breathing. In certain situation, poor CO2 elimination (ventilation failure) is the primary issue. Malnutrition is one of the issues that can occur in patients on mechanical ventilation. Patients in critical condition are typically incapable of consuming enough food to meet their metabolic needs. Enteral nutrition, parenteral nutrition, or mix of two are able to provide nutritional intake. Enteral nutrition can help maintain the intestinal wall's functional integrity by protecting intraepithelial cells, increasing blood flow, and encouraging the production of endogenous trophic agents. In the meantime, parenteral nutrition (PN) must be administered if the patient's nutritional needs are not satisfied within three days, as malnutrition typically develops eight to twelve days following surgery and/or ICU admission. Numerous studies comparing the effects of (enteral nutrition) versus PN nutrition on ICU LOS and mechanical ventilation have found no discernible differences between the two. When comparing EN to PN nutrition, there is a noticeable difference in how well EN reduces infectious complications.