Acute Management of Nutritional Demands after Spinal Cord Injury
- 1 August 2011
- journal article
- review article
- Published by Mary Ann Liebert Inc in Journal of Neurotrauma
- Vol. 28 (8), 1497-1507
- https://doi.org/10.1089/neu.2009.1155
Abstract
A systematic review of the literature was performed to address pertinent clinical questions regarding nutritional management in the setting of acute spinal cord injury (SCI). Specific metabolic challenges are present following spinal cord injury. The acute stage is characterized by a reduction in metabolic activity, as well as a negative nitrogen balance that cannot be corrected, even with aggressive nutritional support. Metabolic demands need to be accurately monitored to avoid overfeeding. Enteral feeding is the optimal route following SCI. When oral feeding is not possible, nasogastric, followed by nasojejunal, then by percutaneous endoscopic gastrostomy, if necessary, is suggested.Keywords
This publication has 25 references indexed in Scilit:
- Update on postinjury nutritionCurrent Opinion in Critical Care, 2008
- Early versus Late Enteral Feeding in Patients with Acute Cervical Spinal Cord InjurySpine, 2004
- Dysphagia in patients with acute cervical spinal cord injurySpinal Cord, 2003
- The metabolic response to spinal cord injurySpinal Cord, 1997
- The role of percutaneous endoscopic gastrostomy in spinal cord injured patientsSpinal Cord, 1995
- Nutritional and Metabolic Response to Acute Spinal‐Cord InjuryJournal of Parenteral and Enteral Nutrition, 1992
- Obligatory Negative Nitrogen Balance Following Spinal Cord InjuryJournal of Parenteral and Enteral Nutrition, 1991
- Comparison of Urinary Urea Nitrogen Excretion and Measured Energy Expenditure in Spinal Cord Injury and Nansteroid‐Treated Severe Head Trauma PatientsJournal of Parenteral and Enteral Nutrition, 1989
- Nutritional support: a prophylaxis against stress bleeding after spinal cord injurySpinal Cord, 1989
- General Metabolism in Patients with Acute Paraplegia and QuadriplegiaNeurosurgery, 1985