Estimation of the readiness of the patients of the childhood for the growth of the volume of enteral nourishment with the gastrointestinal disfunction
Introduction. The development of heavy gastrointestinal disfunction is interconnected with a more prolonged stay in the department of resuscitation and the increased risk of death. The intolerance of nourishment frequently remains in children for the duration of long time, which prevents adequate introduction and mastering by macro- and micronutrients. Purpose of the study. To estimate the readiness of the patients of pre-school age, who are located in the department of resuscitation, for the growth of the volume of enteral nourishment with the gastrointestinal disfunction. Materials and the methods. In a study is included 50 patients, in who it is executed 194 observation. Were investigated the fundamental characteristics of central hemodynamics, and also the level of lactate and the rate of diuresis as indices, those indirectly testifying about microcirculation state. Results. Our study demonstrated, that the presence of intra-abdominal hypertension is contra-evidence for the growth of the volume of enteral feedings and passage from the trophic nutrition to the more significant volumes. Reduction in the impact index, delivery of oxygen and mean arterial pressure, an increase in the lactate and a drop in the rate of hourly diuresis to 1,1 ± 03 ml/kg/h or are below - they are the most precise arguments against an increase in the volume of the enteral feeding.