The time for beginning of enteral nutrition in traumatic shock

To explore the value of monitoring CO(2) partial pressure of gastric mucosa (PiCO(2)) in patients with traumatic shock under enteral nutrition (EN) support. Ninety-six patients who were clinically diagnosed as having traumatic shock were randomly divided into two groups: the test group and the contr...

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Published inZhongguo wei zhong bing ji jiu yi xue Vol. 18; no. 10; p. 623
Main Authors Rao, Hui-qing, Mo, Bei-xi, Zhou, Dun-rong, Su, Yue-nan, Jiang, Yue, Lin, Zhi-tao
Format Journal Article
LanguageChinese
Published China 01.10.2006
Subjects
Adolescent
Adult
Aged
APACHE
Carbon Dioxide - metabolism
Child
Enteral Nutrition
Female
Gastric Mucosa - metabolism
Humans
Male
Middle Aged
Monitoring, Physiologic
Partial Pressure
Shock, Traumatic - metabolism
Shock, Traumatic - therapy
Time Factors
Treatment Outcome
Young Adult
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Summary:To explore the value of monitoring CO(2) partial pressure of gastric mucosa (PiCO(2)) in patients with traumatic shock under enteral nutrition (EN) support. Ninety-six patients who were clinically diagnosed as having traumatic shock were randomly divided into two groups: the test group and the control group. In the test group, EN was given after tissue oxygenation, indicated by the value of PiCO(2), approached normal and the clinical symptoms ameliorated. In control group EN was given at the early stage of recovery from shock. The course of convalescence of the primary disease, gastro-intestinal symptoms, the monitoring indexes, and the complications etc. were compared between the two groups. Acute physiology and chronic health evaluation II (APACHE II) scores were both gradually lowered in both groups. It was more significant in the control group than that in the test group 5 days later (both P<0.01). Compared with the control group, the cure rate in the test group was increased obviously (91.3% vs. 75.0%, P
ISSN:1003-0603