Eating on Noninvasive Ventilation*

Shaikh, Hameeda; Laghi, Franco

doi:10.1097/ccm.0000000000000002

Cited by 2 publications

(1 citation statement)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The addition of a device that allowed an off-switch during swallowing eliminated autotriggering [ 41 ]. It has been suggested that the improved swallowing with non-invasive ventilation could be due to an increase in the operative lung volume, increase in subglottic pressure leading to less aspiration, unloading of the respiratory muscles, and decrease in carbon dioxide tension [ 42 ]. While provocative, this study was small and the findings should be viewed as preliminary.…”

Section: Nutrition Via Oral Route In Patients On Non-invasive Ventilationmentioning

confidence: 99%

Nutrition Therapy in Non-intubated Patients with Acute Respiratory Failure

et al. 2021

View full text Add to dashboard Cite

Purpose of Review A challenging aspect of the care for patients with acute respiratory failure is their nutrition management. This manuscript consists of a literature review on nutrition therapy in non-intubated patients with acute respiratory failure receiving high-flow nasal cannula oxygenation or non-invasive positive pressure ventilation. Recent Findings Studies show that non-intubated patients with acute respiratory failure either on non-invasive ventilation or high-flow nasal cannula are largely underfed in the initial phase of their hospitalization. Although data is limited, the available evidence suggests the feasibility of initiating oral diet in the majority of these patients in the early phase. Summary Initial evaluation includes mental status evaluation, the Yale swallowing screening protocol, and an assessment of severity of illness. The goal should be to initiate oral diet within 24 h. If patient cannot initiate oral diet, the reason for not initiating oral diet should dictate the next step. For instance, if the reason is failure of the swallow screening, further evaluation with fiberoptic endoscopy is warranted. The inability to provide oral diet for a patient in respiratory distress may a harbinger of failure of non-invasive oxygen therapy and should prompt consideration for endotracheal intubation. We suggest placement of a small-bore feeding tube for enteral nutrition if patient is unable receive oral diet after 48 h. Conclusions The nutrition management of these patients is better provided by a multidisciplinary team in a protocolized manner.

show abstract

Section: Nutrition Via Oral Route In Patients On Non-invasive Ventilationmentioning

confidence: 99%