The Physiologic Response and Associated Clinical Benefits From Provision of Early Enteral Nutrition

Why early Enteral Nutrition (EN) is so important for the critically ill patients?


The Physiologic Response and Associated Clinical Benefits From Provision of Early Enteral Nutrition (click here)
This review article by Professor McClave and Heyland presented both the mechanistic and evidence from meta-analysis on the benefits of early EN.


The mechanistic benefits in the presence of EN is summarized in the figure below, this figure is obtained from this article:
Feeding the Critically Ill Patient (click here)

While this figure is my attempt to summarize the mechanistic harm in the absence of EN, based on the article by McClave & Heyland 2009.

McClave & Heyland. Nutr Clin Pract 2009; 24(3):305-315. DOI:10.1177/0884533609335176

McClave et al. Crit Care Med 2014; 42(12):2600-2610. 
DOI:10.1097/CCM.0000000000000654