There is evidence to support the early initiation of enteral feedings in critically ill patients to improve outcomes. However, concern about possible ischemia of the gut and fear that the oxygen demand related to feeding could cause stress on oxygen delivery have supported hemodynamic instability as a relative contraindication to early feeding.
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Linda Bell; Early Enteral Nutrition in Critically Ill Patients. Am J Crit Care 1 May 2010; 19 (3): 269. doi: https://doi.org/10.4037/ajcc2010880
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