Acute Intestinal Failure

Shweta R Chandankhede; Atul P Kulkarni

doi:10.5005/jp-journals-10071-23618

Acute Intestinal Failure

Indian J Crit Care Med. 2020 Sep;24(Suppl 4):S168-S174. doi: 10.5005/jp-journals-10071-23618.

Authors

Shweta R Chandankhede¹, Atul P Kulkarni²

Affiliations

¹ Department of Critical Care Medicine, Care Hospitals, Banjara Hills, Hyderabad, Telangana, India.
² Division of Critical Care Medicine, Department of Anaesthesiology, Critically Care and Pain, Tata Memorial Hospital, Homi Bhabha National Institute, Parel, Mumbai, Maharashtra, India.

Abstract

Acute intestinal failure (AIF), "reduction of gut function below the minimum necessary for the absorption of macronutrients and/or water and electrolytes, requiring parenteral nutrition", is common, but very often neglected part of multiorgan dysfunction syndrome (MODS) in the critically ill patients. It is now increasingly being recognized as a cause of prolonged ICU and hospital stay and poor outcome. Multidisciplinary team approach, systematic approach to management with treatment of sepsis, early mobilization and enteral feeding with prokinetics if required, control of intra-abdominal pressure and surgical intervention, when mandated, can help treat AIF and improve patient outcomes. How to cite this article: Chandankhede SR, Kulkarni AP. Acute Intestinal Failure. Indian J Crit Care Med 2020;24(Suppl 4):S168-S174.

Keywords: Acute intestinal failure; Critically ill; Enteral feeding; Intra-abdominal pressure; Multiorgan dysfunction syndrome; Parenteral nutrition; Short bowel syndrome.

Publication types

Review