Dietary composition on nutritional status and pulmonary function in ventilatory assisted patients

Date
1991
DOI
Authors
Upadhyay-Desai, Indira
Version
OA Version
Citation
Abstract
Critically ill patients requiring continuous mechanical ventilators will become malnourished unless their nutrition is supported by enteral or parenteral feedings. The best dietary composition of such feedings is still under investigation. Ten subjects on ventilators and on enteral feedings in an Intensive Care Unit, were equally matched for severity of disease using Apache II scores and randomized in a double blind study to receive a high protein formula, Traumacal (38% carbohydrate, 22 % protein and 40 % fat) or a high fat feeding, Pulmocare (55.5 % fat, 16.7% protein and 28.1% carbohydrate). After baseline testing, the subjects were fed the prescribed caloric intake at 1.3 x measured energy expenditure. After an equilibration period to meet the prescribed caloric intake, Traumacal or Pulmocare were fed for 10 days; test values were recorded daily for the first 5 days and then twice during the remaining 5 day period. The effect of Traumacal and Pulmocare on nutritional and pulmonary function parameters, as well as any gastrointestinal side effects were measured. No significant differences were found between the two groups: fat intake showed only a trend towards significance. [TRUNCATED]
Description
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Thesis (D.Sc.D.)--Boston University. Henry M. Goldman School of Graduate Dentistry, 1991 (Nutritional Sciences)
Bibliography: leaves 163-181.
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