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Cardiogenic Shock And Nutrition: Safe?

Ronan Thibault, Claude Pichard, Jan Wernerman, Karim Bendjelid
Published 2010 · Medicine
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Cardiogenic shock is a common diagnosis in patients in the intensive care unit (ICU), and is characterized by a decreased cardiac output in the presence of adequate intravascular volume associated with an inadequate tissue perfusion including a physiological reduction in the splanchnic territory. It may occur in isolation as a reflection of cardiac pathology, or it may be part of a shock syndrome involving other pathogenic mechanisms. As the use of enteral nutrition (EN) is associated with an increase in mesenteric arterial output, EN could be deleterious by overwhelming the mechanisms of mesenteric adaptation. Accordingly, EN has been suspected to increase the risk of mesenteric ischaemia, bacterial translocation and sepsis in ICU patients with cardiogenic shock. International guidelines recommend a cautious use of EN within 72 h following cardiogenic shock. Recent evidence indicates that mesenteric arterial output may decrease during parenteral nutrition administration, suggesting that parenteral nutrition could have a protective effect on splanchnic organs in ICU patients with cardiogenic shock. Contrary to former beliefs, several meta-analyses have shown that parenteral nutrition is not associated with increased mortality. Exclusive EN is associated with negative energy balance and the combination of EN with supplemental parenteral nutrition during the first days following ICU admission has been proposed to prevent negative energy balance. Such a nutritional strategy could also be beneficial for the mesenteric circulation in cardiogenic shock, and consequently may improve the clinical outcome of patients with cardiogenic shock. Clinical trials are warranted to verify these hypotheses.
This paper references
10.1097/MCO.0b013e3282f4f487
Early nutrition support in the intensive care unit: a US perspective.
Corey S Scurlock (2008)
10.1136/gut.35.2.186
Superior mesenteric artery blood flow and gastric emptying in humans and the differential effects of high fat and high carbohydrate meals.
M. B. Sidery (1994)
10.1177/0148607102026001011
Guidelines for the use of parenteral and enteral nutrition in adult and pediatric patients.
David Allen August (2002)
10.1016/S0002-9610(05)80424-6
Continuous duodenal feeding restores gut blood flow and increases gut oxygen utilization during PEEP ventilation for lung injury.
Peter N. Purcell (1992)
10.1097/CCM.0b013e3181b029c1
Evaluation of sublingual and gut mucosal microcirculation in sepsis: a quantitative analysis.
Colin L Verdant (2009)
Canadian Critical Care Clinical Practice Guidelines Committee (2003) Canadian clinical practice guidelines for nutrition support in mechanically ventilated, critically ill adult patients
DK Heyland (2003)
10.1152/ajpheart.1991.261.5.H1430
Cardiovascular responses to high-fat and high-carbohydrate meals in young subjects.
M. B. Sidery (1991)
10.1152/ajpendo.1993.264.4.E504
Whole body and splanchnic oxygen consumption and blood flow after oral ingestion of fructose or glucose.
Tomas Brundin (1993)
10.1016/j.clnu.2005.03.006
Negative impact of hypocaloric feeding and energy balance on clinical outcome in ICU patients.
Stéphane Villet (2005)
10.1006/jsre.2000.6047
Early and sufficient feeding reduces length of stay and charges in surgical patients.
Leigh A. Neumayer (2001)
10.1097/00003246-200007000-00006
Intestinal absorption in patients after cardiac surgery.
Mette M Berger (2000)
Energy supply level correlates with ICU mortality: a multicentre study in a cohort of 1,209 patients
C Pichard (2008)
10.1016/S0899-9007(00)00576-1
Enteral versus parenteral nutrition: a pragmatic study.
Nicholas Woodcock (2001)
10.1016/S0002-8223(99)00191-1
Economic implications of an early postoperative enteral feeding protocol.
A M Hedberg (1997)
10.1097/00024382-200405000-00007
The hepatosplanchnic contribution to hyperlactatemia in endotoxic shock: effects of tissue ischemia.
Jacques Creteur (2004)
10.1097/MCC.0b013e3283052cdd
Enteral vs. parenteral nutrition for the critically ill patient: a combined support should be preferred.
Claudia Paula Heidegger (2008)
10.1177/0115426503018004285
Feeding the hemodynamically unstable patient: a critical evaluation of the evidence.
Gary P. Zaloga (2003)
10.1053/euhj.1997.0858
Systemic inflammation in patients with heart failure.
Dietrich Hasper (1998)
10.1016/j.nut.2004.06.003
Does enteral nutrition compared to parenteral nutrition result in better outcomes in critically ill adult patients? A systematic review of the literature.
Leah M. Gramlich (2004)
10.1097/01.CCM.0000150960.36228.C0
A metaanalysis of treatment outcomes of early enteral versus early parenteral nutrition in hospitalized patients.
John Victor Peter (2005)
10.1097/shk.0b013e3181598b77
Distribution of NOS isoforms in a porcine endotoxin shock model.
Marie-Françoise Doursout (2008)
10.1177/0148607109335234
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.).
Stephen A. Mcclave (2009)
10.1097/00003246-199609000-00011
Effect of tube feedings on the measurement of gastric intramucosal pH.
Paul Ellis Marik (1996)
10.1016/j.jamcollsurg.2008.06.332
Effect of immediate enteral feeding on trauma patients with an open abdomen: protection from nosocomial infections.
Sharmila Dissanaike (2008)
10.1097/00003246-200110000-00018
Upper digestive intolerance during enteral nutrition in critically ill patients: frequency, risk factors, and complications.
Hervé Mentec (2001)
10.1097/CCM.0b013e318192fb44
Changes in superior mesenteric artery blood flow after oral, enteral, and parenteral feeding in humans.
Marcel Gatt (2009)
10.1016/S0261-5614(02)00215-7
The impact of malnutrition on morbidity, mortality, length of hospital stay and costs evaluated through a multivariate model analysis.
Maria Isabel Toulson Davisson Correia (2003)
10.1016/j.annfar.2009.10.023
[Microcirculatory alterations in critically ill patients: pathophysiology, monitoring and treatments].
Nils Siegenthaler (2010)
10.1093/ajcn/87.6.1656
Preoperative unintended weight loss and low body mass index in relation to complications and length of stay after cardiac surgery.
Lenny M W van Venrooij (2008)
10.1097/00003246-199907000-00001
Sublingual capnometry: a new noninvasive measurement for diagnosis and quantitation of severity of circulatory shock.
Max Harry Weil (1999)
10.1016/j.clnu.2006.01.021
ESPEN Guidelines on Enteral Nutrition: Intensive care.
K. Georg Kreymann (2006)
10.1093/ajcn/79.4.613
Nutritional assessment: lean body mass depletion at hospital admission is associated with an increased length of stay.
Claude Pichard (2004)
10.1161/CIRCULATIONAHA.106.613596
Cardiogenic shock: current concepts and improving outcomes.
Harmony R. Reynolds (2008)
10.1378/chest.120.3.923
Sublingual capnography: a clinical validation study.
Paul Ellis Marik (2001)
10.1097/01.ccx.0000244122.62118.da
Update on the management of cardiogenic shock.
Henry J. Mann (2006)
10.1007/BF01628086
Superior mesenteric artery
Chishti Tanhar Bakth (2005)
10.1067/msy.2000.104119
Small bowel necrosis in association with early postoperative enteral feeding after pancreatic resection.
R Jorba (2000)
10.1152/ajpendo.1997.272.4.E678
Whole body and splanchnic metabolic and circulatory effects of glucose during beta-adrenergic receptor inhibition.
Tomas Brundin (1997)
10.1016/s1885-5857(09)60059-1
[ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2012].
John. J. V. McMurray (2012)
10.1016/j.clnu.2006.03.005
The German hospital malnutrition study.
Matthias Pirlich (2006)
10.1097/CCM.0b013e3181a40116
Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition: Executive Summary.
Robert G. Martindale (2009)
10.1136/gut.33.4.497
Intestinal phase of superior mesenteric artery blood flow in man.
C. Sieber (1992)
ASPEN Board of Directors, the Clinical Guidelines Task Force (2002) Guidelines for the use of parenteral and enteral nutrition in adult and pediatric patients
10.1007/s001340100855
Early metabolic and splanchnic responses to enteral nutrition in postoperative cardiac surgery patients with circulatory compromise
Jean-Pierre Revelly (2001)
10.1016/j.clnu.2007.08.002
The economic impact of disease-related malnutrition at hospital admission.
Teresa Freitas Amaral (2007)
10.1093/ajcn/74.2.160
Total parenteral nutrition: potion or poison?
Khursheed N. Jeejeebhoy (2001)
10.1056/NEJMct0806956
Parenteral nutrition in the critically ill patient.
Thomas R. Ziegler (2009)
Gastric tonometry and intramucosal pH--theoretical principles and clinical application.
Vladimir Cerny (2000)
10.1136/gut.35.6.737
Effect of ranitidine on basal and bicarbonate enhanced intragastric PCO2: a tonometric study.
Jeroen J Kolkman (1994)
10.1007/s00134-004-2345-y
Combination enteral and parenteral nutrition in critically ill patients: harmful or beneficial? A systematic review of the evidence
Rupinder Dhaliwal (2004)
10.1016/0016-5085(88)90364-2
Duplex ultrasound measurement of postprandial intestinal blood flow: effect of meal composition.
Gregory L. Moneta (1988)
10.1007/BF01728327
Splanchnic oxygen transport after cardiac surgery: evidence for inadequate tissue perfusion after stabilization of hemodynamics
Ari V Uusaro (2005)
10.1177/0884533608323431
The patient with circulatory shock: to feed or not to feed?
Gail A. Cresci (2008)
10.1007/s00134-003-2127-y
Post-pyloric enteral nutrition in septic patients: effects on hepato-splanchnic hemodynamics and energy status
Richard Rokyta (2003)
Small bowel necrosis associated with postoperative jejunal tube feeding.
Ch. Schunn (1995)
10.1111/j.1572-0241.2006.01024.x
Does Enteral Nutrition Affect Clinical Outcome? A Systematic Review of the Randomized Trials
Ronald L Koretz (2007)
10.1016/S0140-6736(96)07015-8
Wasting as independent risk factor for mortality in chronic heart failure
Stefan D Anker (1997)
10.1097/00003246-200101000-00002
A prospective survey of nutritional support practices in intensive care unit patients: what is prescribed? What is delivered?
Bernard de Jonghe (2001)
10.1378/chest.130.4_MeetingAbstracts.101S-c
Effects of early enteral feeding on the outcome of critically ill mechanically ventilated medical patients.
Vasken Artinian (2006)
10.1016/j.clnu.2004.08.005
Enteral nutrition in critically ill patients with severe hemodynamic failure after cardiopulmonary bypass.
Mette M Berger (2005)
10.1007/s00134-004-2511-2
Parenteral vs. enteral nutrition in the critically ill patient: a meta-analysis of trials using the intention to treat principle
Fiona Simpson (2004)
10.1054/clnu.2002.0542
Early enteral nutrition in the cardiothoracic intensive care unit.
Doris Kesek (2002)
American College of Critical Care Medicine, A.S.P.E.N
RG Martindale (2009)
10.1378/chest.124.5.1885
Do all nonsurvivors of cardiogenic shock die with a low cardiac index?
Noelle Louise Lim (2003)
10.1177/0115426503018004279
Feeding the hypotensive patient: does enteral feeding precipitate or protect against ischemic bowel?
Stephen A. Mcclave (2003)
Task Force for Diagnosis and Treatment of Acute and Chronic Heart Failure
(2008)
Multipleorgan-failure syndrome
CJ Carrico (1986)
10.1097/00024382-200115050-00001
The mesenteric hemodynamic response to circulatory shock: an overview.
Patrick M. Reilly (2001)
10.1177/0148607103027005355
Canadian clinical practice guidelines for nutrition support in mechanically ventilated, critically ill adult patients.
Daren Keith Heyland (2003)
10.20996/1819-6446-2009-5-3-95-122
ESC GUIDELINES FOR THE DIAGNOSIS AND TREATMENT OF ACUTE AND CHRONIC HEART FAILURE 2008
Kenneth Dickstein (2009)
10.1097/00075197-200303000-00008
Metabolic and nutritional support in acute cardiac failure.
Mette M Berger (2003)
10.1001/archsurg.141.7.701
Bowel necrosis associated with early jejunal tube feeding: A complication of postoperative enteral nutrition.
Marcovalerio Melis (2006)
Postprandial mesenteric blood flow in humans: relationship to endogenous gastrointestinal hormone secretion and energy content of food.
David R. Parker (1995)
10.1148/radiology.207.3.9609894
Doppler sonography of the portal vein and hepatic artery: measurement of a prandial effect in healthy subjects.
Andrew J. Fisher (1998)
10.1002/clc.4960160305
Cardiogenic shock: elements of etiology, diagnosis, and therapy.
Joseph Stephen Alpert (1993)
Supplemental parenteral nutrition (SPN) in ICU patients for early coverage of energy target: preliminary report
R Thibault (2009)
10.1016/j.clnu.2009.04.024
ESPEN Guidelines on Parenteral Nutrition: intensive care.
Pierre singer (2006)
10.1054/clnu.1999.0077
Nutritional status of mechanically ventilated critically ill patients: comparison of different types of nutritional support.
Yi-Chia Huang (2000)
DGEM (German Society for Nutritional
KG Kreymann (2006)
Energy supply level correlates with ICU mortality: a multicentre study in a cohort of 1,209 patients. Intensive Care Medicine: abstract S97
C Pichard (2008)
10.1016/j.clnu.2005.10.010
Computerized energy balance and complications in critically ill patients: an observational study.
David Dvir (2006)
10.1016/j.ahj.2003.07.006
Microvascular alterations in patients with acute severe heart failure and cardiogenic shock.
Daniel De Backer (2004)
10.1093/ajcn/74.4.534
Enteral compared with parenteral nutrition: a meta-analysis.
Carol A Braunschweig (2001)



This paper is referenced by
10.1007/s00134-012-2719-5
Mesenteric blood flow, glucose absorption and blood pressure responses to small intestinal glucose in critically ill patients older than 65 years
Jennifer A. Sim (2012)
10.1007/s10877-017-9976-3
Journal of Clinical Monitoring and Computing 2016 end of year summary: cardiovascular and hemodynamic monitoring
Bernd Saugel (2017)
10.1186/cc10530
Malabsorption and nutritional balance in the ICU: fecal weight as a biomarker: a prospective observational pilot study
Nicolette J Wierdsma (2011)
10.1177/0148607113504219
Early enteral nutrition in patients with hemodynamic failure following cardiac surgery.
José Luis Flordelís Lasierra (2015)
Diarree als maat voor malabsorptie. Een prospectieve observationele studie naar malabsorptie en voedingsbalans op de intensive care
Nicolette J. Wierdsma (2012)
10.1007/s00134-018-5302-x
Optimal timing, dose and route of early nutrition therapy in critical illness and shock: the quest for the Holy Grail
Jean Reignier (2018)
10.1016/j.medin.2014.04.002
Nutrición enteral en el paciente crítico con inestabilidad hemodinámica
José Luis Flordelís Lasierra (2015)
10.1007/s00134-012-2467-6
Year in review in Intensive Care Medicine 2011. II. Cardiovascular, infections, pneumonia and sepsis, critical care organization and outcome, education, ultrasonography, metabolism and coagulation
Massimo Antonelli (2012)
10.1016/S0140-6736(17)32146-3
Enteral versus parenteral early nutrition in ventilated adults with shock: a randomised, controlled, multicentre, open-label, parallel-group study (NUTRIREA-2)
Jean Reignier (2018)
10.1177/0148607112451464
Early enteral nutrition in adults receiving venoarterial extracorporeal membrane oxygenation: an observational case series.
Luis Daniel Umezawa Makikado (2013)
10.1016/j.medin.2014.04.002
Enteral nutrition in the hemodynamically unstable critically ill patient.
José Luis Flordelís Lasierra (2015)
10.1177/1178638818810393
Perioperative Enteral Nutrition After Left Ventricular Assist Device Implantation
Ryuichiro Abe (2018)
10.1111/anae.13310
Peri-operative nutrition.
Yasmine Ali Abdelhamid (2016)
10.1007/s00134-015-3730-4
Impact of early nutrition and feeding route on outcomes of mechanically ventilated patients with shock: a post hoc marginal structural model study
Jean Reignier (2015)
10.1007/s10877-016-9838-4
Journal of Clinical Monitoring and Computing 2015 end of year summary: cardiovascular and hemodynamic monitoring
Karim Bendjelid (2016)
OPINION Nutrition risk assessment in the ICU
Michael Hiesmayr (2012)
MISCONCEPTION 1: FAST WEANING FROM SEDATION AND MECHANICAL VENTILATION IS VITAL FOR PATIENTS WITH CS
Karim Bendjelid (2014)
10.1007/s00134-013-3128-0
Nutrition support during extracorporeal membrane oxygenation (ECMO) in adults
Luis Daniel Umezawa Makikado (2013)
10.1016/j.clnu.2019.02.020
Differences in effect of early enteral nutrition on mortality among ventilated adults with shock requiring low-, medium-, and high-dose noradrenaline: A propensity-matched analysis.
Hiroyuki Ohbe (2019)
10.1186/1745-6215-15-507
Impact of early enteral versus parenteral nutrition on mortality in patients requiring mechanical ventilation and catecholamines: study protocol for a randomized controlled trial (NUTRIREA-2)
Laurent Brisard (2014)
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