By Intensive Care Society Staff
This factor of the severe care concentration sequence addresses matters with regards to gastro-intestinal platforms proper to severely sick sufferers at the in depth Care Unit. It comprises chapters in acute pancreatis, diarrohea, intestine finction in the course of enteral feeding, administration of fistulae and haemorrhage and the physiology/pathoplogy of mesenteric ischaemia. additionally, the position of the intestine within the improvement of distant organ failure is mentioned.
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Extra resources for Critical Care Focus 9: Gut
Saccharomyces boulardii preserves the barrier function and modulates the signal transduction pathway induced in enteropathogenic Escherichia coli-infected T84 cells. Infect Immun 2000;68:5998–6004. 14 Bleichner G, Blehaut H, Mentec H, Moyse D. Saccharomyces boulardii prevents diarrhea in critically ill tube-fed patients. A multicenter, randomized, doubleblind placebo-controlled trial. Intensive Care Med 1997;23:517–23. 15 Spapen H, Diltoer M, Van Malderen C, Opdenacker G, Suys E, Huyghens L. Soluble fiber reduces the incidence of diarrhoea in septic patients receiving total enteral nutrition: a prospective, double-blind, randomized, and controlled trial.
J Parenter Enteral Nutr 1991;15:277–80. 10 Cunha BA. Nosocomial diarrhea. Crit Care Clin 1998;14:329–38. 11 Chang VT, Nelson K. The role of physical proximity in nosocomial diarrhea. Clin Infect Dis 2000;31:717–22. 12 Marteau PR, de Vrese M, Cellier CJ, Schrezenmeir J. Protection from gastrointestinal diseases with the use of probiotics. Am J Clin Nutr 2001;73:430S–6S. 19 CRITICAL CARE FOCUS: THE GUT 13 Czerucka D, Dahan S, Mograbi B, Rossi B, Rampal P. Saccharomyces boulardii preserves the barrier function and modulates the signal transduction pathway induced in enteropathogenic Escherichia coli-infected T84 cells.
References 1 Bliss DZ, Guenter PA, Settle RG. Defining and reporting diarrhea in tube-fed patients – what a mess! Am J Clin Nutr 1992;55:753–9. 2 Guenter PA, Sweed MR. A valid and reliable tool to quantify stool output in tube-fed patients. J Parenter Enteral Nutr 1998;22:147–51. 3 Mitra AK, Rahman MM, Fuchs GJ. Risk factors and gender differentials for death among children hospitalized with diarrhoea in Bangladesh. J Health Popul Nutr 2000;18:151–6. 4 Baqu AH, Sabir AA, Begum N, Arifeen SE, Mitra SN, Black RE.