Contraindications and Precautions

EN should not be used or should be used with extreme caution in certain conditions (Table 101-3). It is possible to use EN in some patients with these conditions depending on severity of illness, location of abnormality, and experience of practitioners delivering care. Controversy surrounds some of these contraindications and precautions. For example, whereas some clinicians deliberately avoid enteral feedings in the hemo-dynamically unstable patient for fear of worsening intestinal ischemia, others believe that early feeding may facilitate intestinal perfusion and is beneficial.5,7-9 Still others might avoid jejunal feedings in this setting but would proceed with cautious gastric feedings.

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