A Narrative Review of Nutrition Therapy in Patients Receiving Extracorporeal Membrane Oxygenation.
Journal
ASAIO journal (American Society for Artificial Internal Organs : 1992)
ISSN: 1538-943X
Titre abrégé: ASAIO J
Pays: United States
ID NLM: 9204109
Informations de publication
Date de publication:
01 06 2022
01 06 2022
Historique:
pubmed:
30
7
2021
medline:
7
6
2022
entrez:
29
7
2021
Statut:
ppublish
Résumé
The use of extracorporeal membrane oxygenation (ECMO) in patients with severe cardiorespiratory failure has seen significant growth in the last decade. Despite this, there is paucity of data surrounding the optimum nutritional management for ECMO patients. This review aimed to describe current nutrition practices in patients receiving ECMO, critically appraise available studies and identify areas for future research. A literature search was conducted in PubMed, MEDLINE, and CINAHL Plus to identify all randomized trials and observational studies published between July 2000 and July 2020 investigating nutrition practices in critically ill adults receiving ECMO. The primary outcomes were nutritional adequacy, gastrointestinal complications, and physical function. Secondary outcomes included mortality, length of stay, and duration on ECMO support. From a total of 31 studies identified, 12 met the inclusion criteria. Nine observational studies were reviewed following eligibility assessment. Early enteral nutrition was deemed safe and feasible for ECMO patients; however, meeting nutritional targets was challenging. Utilizing alternative nutrition routes is an option, although risks and benefits should be taken into consideration. Data on gastrointestinal complications and other clinical outcomes were inconsistent, and no data were identified investigating the effects of nutrition on the physical and functional recovery of ECMO patients. Nutrition therapy in ECMO patients should be provided in line with current guidelines for nutrition in critical illness until further data are available. Further prospective, randomized studies investigating optimum nutrition practices and effects on clinical and functional outcomes are urgently required.
Identifiants
pubmed: 34324446
doi: 10.1097/MAT.0000000000001540
pii: 00002480-202206000-00004
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
763-771Informations de copyright
Copyright © ASAIO 2021.
Déclaration de conflit d'intérêts
Disclosure: The authors have no funding and conflicts of interest to report.
Références
Shekar K, Gregory SD, Fraser JF: Mechanical circulatory support in the new era: an overview. Crit Care. 20: 66, 2016.
Guidelines for Cardiopulmonary Extracorporeal Life Support Extracorporeal Life Support Organization (ELSO). Version 1.4. MI, USA, Ann Arbor; 2017.
Cove ME, MacLaren G: Clinical review: mechanical circulatory support for cardiogenic shock complicating acute myocardial infarction. Crit Care. 14: 235, 2010.
Del Sorbo L, Cypel M, Fan E: Extracorporeal life support for adults with severe acute respiratory failure. Lancet Respir Med. 2: 154–164, 2014.
Davies A, Jones D, Bailey M, et al.: Extracorporeal membrane oxygenation for 2009 influenza A (H1N1) acute respiratory distress syndrome. JAMA. 2009; 302:1888–1895.
Gattinoni L, Carlesso E, Langer T: Clinical review: extracorporeal membrane oxygenation. Crit Care. 15: 243, 2011.
Peek GJ, Mugford M, Tiruvoipati R, et al.; CESAR trial collaboration: Efficacy and economic assessment of conventional ventilatory support versus extracorporeal membrane oxygenation for severe adult respiratory failure (CESAR): a multicentre randomised controlled trial. Lancet. 374: 1351–1363, 2009.
Combes A, Peek GJ, Hajage D, et al.: ECMO for severe ARDS: systematic review and individual patient data meta-analysis. Intensive Care Med. 46: 2048–2057, 2020.
Khorsandi M, Dougherty S, Bouamra O, et al.: Extra-corporeal membrane oxygenation for refractory cardiogenic shock after adult cardiac surgery: a systematic review and meta-analysis. J Cardiothorac Surg. 12: 55, 2017.
Lorusso R, Centofanti P, Gelsomino S, et al.; GIROC Investigators: Venoarterial extracorporeal membrane oxygenation for acute fulminant myocarditis in adult patients: a 5-year multi-institutional experience. Ann Thorac Surg. 101: 919–926, 2016.
Burrell AJ, Pellegrino VA, Wolfe R, et al.: Long-term survival of adults with cardiogenic shock after venoarterial extracorporeal membrane oxygenation. J Crit Care. 30: 949–956, 2015.
Bear DE, Haslam J, Camporota L, Shankar-Hari M, Barrett NA: An international survey of nutrition practices in adult patients receiving veno-venous ECMO. Intensive Care Med Exp. 3(Suppl 1): A295, 2015.
Nandwani V, Tauber A, McCarthy P, Herr D: 333. Nutrition practice patterns in adult ECMO patients: results of an international survey. Crit Care Med. 42 (12 suppl 1): A1440. 2014.
Preiser JC, van Zanten AR, Berger MM, et al.: Metabolic and nutritional support of critically ill patients: consensus and controversies. Crit Care. 19: 35, 2015.
Singer P, Blaser AR, Berger MM, et al.: ESPEN guideline on clinical nutrition in the intensive care unit. Clin Nutr. 38: 48–79, 2019.
McClave SA, Taylor BE, Martindale RG, et al.; Society of Critical Care Medicine; American Society for Parenteral and Enteral Nutrition: 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.). JPEN J Parenter Enteral Nutr. 40: 159–211, 2016.
Dvir D, Cohen J, Singer P: Computerized energy balance and complications in critically ill patients: an observational study. Clin Nutr. 25: 37–44, 2006.
Alberda C, Gramlich L, Jones N, et al.: The relationship between nutritional intake and clinical outcomes in critically ill patients: results of an international multicenter observational study. Intensive Care Med. 35: 1728–1737, 2009.
Weijs PJ, Stapel SN, De Groot SD, et al.: Optimal protein and energy nutrition decreases mortality in mechanically ventilated critically ill patients: a prospective observtional cohort study. JPEN J Parenter Enteral Nutr. 62:186–193, 2012.
Zusman O, Theilla M, Cohen J, Kagan I, Bendavid I, Singer P: Resting energy expenditure, calorie and protein consumption in critically ill patients: a retrospective cohort study. Crit Care. 20: 367, 2016.
Koekkoek WACK, van Setten CHC, Olthof LE, Kars JCNH, van Zanten ARH: Timing of PROTein INtake and clinical outcomes of adult critically ill patients on prolonged mechanical VENTilation: the PROTINVENT retrospective study. Clin Nutr. 38: 883–890, 2019.
Braunschweig CA, Sheean PM, Peterson SJ, et al.: Intensive nutrition in acute lung injury: a clinical trial (INTACT). JPEN J Parenter Enteral Nutr. 39: 13–20, 2015.
Casaer MP, Wilmer A, Hermans G, Wouters PJ, Mesotten D, Van den Berghe G: Role of disease and macronutrient dose in the randomized controlled EPaNIC trial: a post hoc analysis. Am J Respir Crit Care Med. 187: 247–255, 2013.
Bendavid I, Singer P, Theilla M, et al.: NutritionDay ICU: a 7 year worldwide prevalence study of nutrition practice in intensive care. Clin Nutr. 36: 1122–1129, 2017.
Heyland DK, Dhaliwal R, Wang M, Day AG: The prevalence of iatrogenic underfeeding in the nutritionally ‘at-risk’ critically ill patient: results of an international, multicenter, prospective study. Clin Nutr. 34: 659–666, 2015.
Bear D, Smith E, Barrett N: Nutrition support in adult patients receiving extracorporeal membrane oxygenation. Nutrition in Clinical Practice. 0:1–9, 2018.
Reignier J, Boisramé-Helms J, Brisard L, et al.; NUTRIREA-2 Trial Investigators; Clinical Research in Intensive Care and Sepsis (CRICS) group: Enteral versus parenteral early nutrition in ventilated adults with shock: a randomised, controlled, multicentre, open-label, parallel-group study (NUTRIREA-2). Lancet. 391: 133–143, 2018.
Rokyta R Jr, Matĕjovic M, Krouzecký A, Novák I: Enteral nutrition and hepatosplanchnic region in critically ill patients - friends or foes? Physiol Res. 52: 31–37, 2003.
Scaravilli V, Zanella A, Sangalli F, Patroniti N: Basic aspects of physiology during ECMO. Sangalli F, ed. In: ECMO Extracorporeal Life Support in Adults. 1st ed. Milan, Springer; 2014. p. 19–36.
Fetterplace K, Beach LJ, MacIsaac C, et al.: Associations between nutritional energy delivery, bioimpedance spectroscopy and functional outcomes in survivors of critical illness. J Hum Nutr Diet. 32: 702–712, 2019.
Ferrie S, Allman-Farinelli M, Daley M, Smith K: Protein requirements in the critically ill: a Randomized Controlled Trial Using Parenteral Nutrition. JPEN J Parenter Enteral Nutr. 40: 795–805, 2016.
Wei X, Day AG, Ouellette-Kuntz H, Heyland DK: The association between nutritional adequacy and long-term outcomes in critically ill patients requiring prolonged mechanical ventilation: a multicenter Cohort Study. Crit Care Med. 43: 1569–1579, 2015.
Kagan I, Singer P: Nutritional imbalances during extracorporeal life support. World Rev Nutr Diet. 105: 154–159, 2013.
Puthucheary ZA, Rawal J, McPhail M, et al.: Acute skeletal muscle wasting in critical illness. JAMA. 310: 1591–1600, 2013.
Casaer MP, Langouche L, Coudyzer W, et al.: Impact of early parenteral nutrition on muscle and adipose tissue compartments during critical illness. Crit Care Med. 41: 2298–2309, 2013.
Lu MC, Yang MD, Li PC, et al.: Effects of nutritional intervention on the survival of patients with cardiopulmonary failure undergoing extracorporeal membrane oxygenation therapy. In Vivo. 32: 829–834, 2018.
Umezawa Makikado LD, Flordelís Lasierra JL, Pérez-Vela JL, et al.: Early enteral nutrition in adults receiving venoarterial extracorporeal membrane oxygenation: an observational case series. JPEN J Parenter Enteral Nutr. 37: 281–284, 2013.
Ferrie S, Herkes R, Forrest P: Nutrition support during extracorporeal membrane oxygenation (ECMO) in adults: a retrospective audit of 86 patients. Intensive Care Med. 39: 1989–1994, 2013.
Ohbe H, Jo T, Yamana H, Matsui H, Fushimi K, Yasunaga H: Early enteral nutrition for cardiogenic or obstructive shock requiring venoarterial extracorporeal membrane oxygenation: a nationwide inpatient database study. Intensive Care Med. 44: 1258–1265, 2018.
Hunt MF, Pierre AS, Zhou X, et al.: Nutritional support in postcardiotomy shock extracorporeal membrane oxygenation patients: a prospective, Observational Study. J Surg Res. 244: 257–264, 2019.
Scott LK, Boudreaux K, Thaljeh F, Grier LR, Conrad SA: Early enteral feedings in adults receiving venovenous extracorporeal membrane oxygenation. JPEN J Parenter Enteral Nutr. 28: 295–300, 2004.
Lukas G, Davies AR, Hilton AK, Pellegrino VA, Scheinkestel CD, Ridley E: Nutritional support in adult patients receiving extracorporeal membrane oxygenation. Crit Care Resusc. 12: 230–234, 2010.
Ridley EJ, Davies AR, Robins EJ, Lukas G, Bailey MJ, Fraser JF; Australian and New Zealand Extracorporeal Membrane Oxygenation Nutrition Therapy: Nutrition therapy in adult patients receiving extracorporeal membrane oxygenation: a prospective, multicentre, observational study. Crit Care Resusc. 17: 183–189, 2015.
MacGowan L, Smith E, Elliott-Hammond C, et al.: Adequacy of nutrition support during extracorporeal membrane oxygenation. Clin Nutr. 38: 324–331, 2019.
Khalid I, Doshi P, DiGiovine B: Early enteral nutrition and outcomes of critically ill patients treated with vasopressors and mechanical ventilation. Am J Crit Care. 19: 261–268, 2010.
Berger MM, Berger-Gryllaki M, Wiesel PH, et al.: Intestinal absorption in patients after cardiac surgery. Crit Care Med. 28: 2217–2223, 2000.
Berger MM, Revelly JP, Cayeux MC, Chiolero RL: Enteral nutrition in critically ill patients with severe hemodynamic failure after cardiopulmonary bypass. Clin Nutr. 24: 124–132, 2005.
Munshi L, Walkey A, Goligher E, Pham T, Uleryk EM, Fan E: Venovenous extracorporeal membrane oxygenation for acute respiratory distress syndrome: a systematic review and meta-analysis. Lancet Respir Med. 7: 163–172, 2019.
Lee HM, Archer JR, Dargan PI, Wood DM: What are the adverse effects associated with the combined use of intravenous lipid emulsion and extracorporeal membrane oxygenation in the poisoned patient? Clin Toxicol (Phila). 53: 145–150, 2015.
Tamura T, Yatabe T, Yokoyama M. Energy expenditure measured using indirect calorimetry after elective cardiac surgery in ventilated postoperative patients: a prospective observational study. Clin Nutr. 24: 15–23, 2019.
De Waele E, Jonckheer J, Pen JJ, et al.: Energy expenditure of patients on ECMO: a prospective pilot study. Acta Anaesthesiol Scand. 63: 360–364, 2019.
Wollersheim T, Frank S, Müller MC, et al.: Measuring energy expenditure in extracorporeal lung support Patients (MEEP) - Protocol, feasibility and pilot trial. Clin Nutr. 37: 301–307, 2018.
Stoppe C, Goetzenich A, Whitman G, et al.: Role of nutrition support in adult cardiac surgery: a consensus statement from an international multidisciplinary expert group on nutrition in cardiac surgery. Crit Care. 21: 131, 2017.
Pelekhaty SL, Galvagno SM Jr, Lantry JH, et al.: Are current protein recommendations for the critically ill adequate for patients on VV ECMO: experience from a high-volume center. JPEN J Parenter Enteral Nutr. 44: 220–226, 2020.
Montejo JC, Miñambres E, Bordejé L, et al.: Gastric residual volume during enteral nutrition in ICU patients: the REGANE study. Intensive Care Med. 36: 1386–1393, 2010.
Reignier J, Mercier E, Le Gouge A, et al.: Effect of not monitoring residual gastric volume on risk of ventilator‐associated pneumonia in adults receiving mechanical ventilation and early enteral feeding: a randomized controlled trial. JAMA. 309–: 249–256, 2013.
Mancl EE, Muzevich KM: Tolerability and safety of enteral nutrition in critically ill patients receiving intravenous vasopressor therapy. JPEN J Parenter Enteral Nutr. 37: 641–651, 2013.
Hayes K, Holland AE, Pellegrino VA, Mathur S, Hodgson CL: Acute skeletal muscle wasting and relation to physical function in patients requiring extracorporeal membrane oxygenation (ECMO). J Crit Care. 48: 1–8, 2018.
Hayes K, Hodgson CL, Pellegrino VA, et al.: Physical function in subjects requiring extracorporeal membrane oxygenation before or after lung transplantation. Respir Care. 63: 194–202, 2018.
Hayes K, Holland AE, Pellegrino VA, Leet AS, Fuller LM, Hodgson CL: Physical function after extracorporeal membrane oxygenation in patients pre or post heart transplantation - An observational study. Heart Lung. 45: 525–531, 2016.
Hsieh FT, Huang GS, Ko WJ, Lou MF: Health status and quality of life of survivors of extra corporeal membrane oxygenation: a cross-sectional study. J Adv Nurs. 72: 1626–1637, 2016.
Combes A, Brodie D, Chen YS, et al.: The ICM research agenda on extracorporeal life support. Intensive Care Med. 43: 1306–1318, 2017.
Chourdakis M, Kraus MM, Tzellos T, et al.: Effect of early compared with delayed enteral nutrition on endocrine function in patients with traumatic brain injury: an open-labeled randomized trial. JPEN J Parenter Enteral Nutr. 36: 108–116, 2012.
Minard G, Kudsk KA, Melton S, Patton JH, Tolley EA: Early versus delayed feeding with an immune-enhancing diet in patients with severe head injuries. JPEN J Parenter Enteral Nutr. 24: 145–149, 2000.
Peck MD, Kessler M, Cairns BA, Chang YH, Ivanova A, Schooler W: Early enteral nutrition does not decrease hypermetabolism associated with burn injury. J Trauma. 57: 1143–8; discussion 1148, 2004.