Criteria and Risk Factors of Mentec et al for Upper Digestive Intolerance (UDI) During Enteral Nutrition for a Patient in the Intensive Care Unit (ICU)
Mentec et al evaluated patients receiving enteral nutrition in the intensive care unit. They identified features of upper digestive intolerance of the enteral feeding. The authors are from Victor Dopouy Hospital in Argenteuil, France.
Patient selection: ICU receiving enteral nutrition via nasogastric tube
Criteria for upper digestive intolerance:
(1) >= 1 gastric aspirate volume (GAV) > 500 mL
(2) 2 consecutive measurements of gastric aspirate volume (GAV) > 150 and < 500 mL
(3) vomiting
Risk factors for upper digestive intolerance:
(1) gastric aspirate volume > 20 mL before the start of enteral nutrition
(2) gastric aspirate volume > 100 mL during enteral nutrition
(3) sedation during enteral nutrition
(4) pressor therapy (use of catecholamines) during enteral nutrition
Complications of or associations with upper digestive intolerance:
(1) aspiration pneumonia
(2) longer ICU stay
(3) higher ICU mortality
(4) insufficient enteral nutrition
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