Table 1. Guidelines for Selection of Enteral Feeding Formulations

Table 1. Guidelines for selection of enteral feeding formulations

Major elective surgery, trauma, burns, head Immune-modulating enteral and neck cancer, and critically ill patients on formulations (arginine, glutamine, mechanical ventilation (being cautious in patients nucleic acid, omega-3 fatty acids, and with severe sepsis) antioxidants). Grade A (surgical)

Grade B (medical). Acute lung injury/ acute respiratory distress Enteral formulation characterized by syndrome an anti-inflammatory lipid profile (i.e.,

omega-3 fish oils, borage oil) and

antioxidants (grade A). All critically ill patients receiving specialized Antioxidant vitamins (including nutrition therapy vitamins E and ascorbic acid) and

trace minerals (specifically including

selenium, zinc, and copper). Burn, trauma, and mixed ICU patients Enteral glutamine to an enteral

nutrition regimen. Pulmonary failure High-lipid low carbohydrate

formulations are not recommended.

Fluid-restricted calorically dense

formulations should be considered. Renal failure Standard enteral formulations, and

standard ICU recommendations for

protein and calorie.