Enteral Nutrition Support for Abdominal Compartment Syndrome in Morbidly Obese Patient : A Case Report from a Medical Intensive Care Unit (ICU)

  • Nurul Huda Razalli Universiti Kebangsaan Malaysia
  • Sa'ida Munira Johari Universiti Kebangsaan Malaysia
  • Nancy Park St. John Hospital and Medical Center,
Keywords: Critical Care Nutrition, Nutrition Support, Intensive Care Unit, Enteral Nutrition, Abdominal Compartment Syndrome,

Abstract

Compartment syndrome occurs when pressure within a closed muscle or bone compartment builds to dangerous levels. This pressure can decrease blood flow to nerve and muscle cells, leading to ischemia and organ dysfunction. Challenges in providing enteral nutrition for abdominal compartment syndrome (ACS) patients include the increase risk for developing gastrointestinal symptoms such as diarrhea, constipation and distention. There are limited reports available on the nutritional management of ACS patients in the ICU especially those with morbid obesity condition to guide dietitians in providing nutritional support for these patients. Here, we report the enteral nutrition management of a mechanically ventilated, morbidly obese patient with ACS in a critical care setting by adopting postpyloric feeding, using prokinetic agents and implementing PO2/FiO2 ratio calculation for prescription of most suitable enteral formula.

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Author Biographies

Nurul Huda Razalli, Universiti Kebangsaan Malaysia
Senior Lecturer & DietitianDietetic Program
Sa'ida Munira Johari, Universiti Kebangsaan Malaysia
Graduate Student
Nancy Park, St. John Hospital and Medical Center,
Dietitian

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Submitted

2017-09-30
Accepted
2017-11-29
Published
2018-06-07
Section
Articles