Cited by 393Clinical Nutrition and GastroenterologyRespiratory Support and MechanismsNosocomial Infections in ICU

The DOI matches its Crossref record; 20 of the 20 references it cites were found in a registry or an index.

Benefit of an enteral diet enriched with eicosapentaenoic acid and gamma-linolenic acid in ventilated patients with acute lung injury*

Abstract

OBJECTIVE: To explore the effects of an enteral diet enriched with eicosapentaenoic acid (EPA), gamma-linolenic acid (GLA), and antioxidants on the respiratory profile and outcome of patients with acute lung injury. DESIGN: Single-center, prospective, randomized, controlled, unblinded study. SETTING: General intensive care department of a tertiary-care, university-affiliated hospital. PATIENTS: A total of 100 patients with acute lung injury, diagnosed according to the American-European Consensus Conference on ARDS. INTERVENTIONS: Patients were randomized to receive the standard isonitrogenous, isocaloric enteral diet or the standard diet supplemented with EPA and GLA for 14 days. MEASUREMENTS AND MAIN RESULTS: Patient demographics, Acute Physiology and Chronic Health Evaluation II score, and type of admission were noted at admission. Compared with baseline oxygenation (EPA + GLA group vs. control group), by days 4 and 7, patients receiving the EPA + GLA diet showed significant improvement in oxygenation (PaO(2)/FIO(2), 317.3 +/- 99.5 vs. 214.3 +/- 56.4 and 296.5 +/- 165.3 vs. 236.3 +/- 79.8, respectively; p < .05). Compliance was significantly higher in the EPA + GLA group observed at day 7 (55.1 +/- 46.5 vs. 35.2 +/- 20.0 mL/mbar, p < .05). No significant difference was found in nutritional variables. Resting energy expenditure was significantly higher in patients in the EPA + GLA group, but their body mass index was also higher (p < .05). A significant difference was found in length of ventilation (p < .04) in favor of the EPA + GLA group. There was no between-group difference in survival. CONCLUSIONS: In patients with acute lung injury, a diet enriched with EPA + GLA may be beneficial for gas exchange, respiratory dynamics, and requirements for mechanical ventilation.

Overview

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Crossref · 10.1097/01.ccm.0000206111.23629.0a

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Metadata

Authors
Singer, P., Theilla, M., Fisher, H., Gibstein, L., Grozovski, E., & Cohen, J.
Affiliations
Tel Aviv University (IL)
Venue
Critical Care Medicine
Published
2006-04
Volume
34
Issue
4
Pages
1033-1038
ISSN
0090-3493 (ISSN-L)
OpenAlex
W2096340924
Cited by
393
References
20
Citations by year
2026: 4 · 2025: 9 · 2024: 5 · 2023: 4 · 2022: 2 · 2021: 16 · 2020: 16 · 2019: 17 · 2018: 11 · 2017: 13 · 2016: 16 · 2015: 29 · 2014: 41 · 2013: 28 · 2012: 32
FWCI
22.86
Type
journal article
Language
en
Open access
closed
Locations
  • Critical Care Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Respiratory Support and Mechanisms
  • Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Nosocomial Infections in ICU
Keywords
acute lung injury, acute respiratory distress syndrome, enteral nutrition, eicosapentaenoic acid, gamma-linolenic acid, omega-3 fatty acids, antioxidants, mechanical ventilation, oxygenation, ventilator compliance, resting energy expenditure, mechanical ventilation duration, critically ill patients
MeSH terms
Adult, Enteral Nutrition, Female, Humans, Male, Middle Aged, Prospective Studies, Respiration, Artificial, Respiratory Distress Syndrome, Eicosapentaenoic Acid, Treatment Outcome, gamma-Linolenic Acid

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