A 45-year-old man is admitted to ICU with severe acute pancreatitis (Atlanta classification: necrotising pancreatitis with organ failure). He is intub...

Question

A 45-year-old man is admitted to ICU with severe acute pancreatitis (Atlanta classification: necrotising pancreatitis with organ failure). He is intubated and ventilated, on noradrenaline 0.1 mcg/kg/min. On day 2, the dietitian asks about nutrition. According to ESPEN/ESICM guidelines, what is the recommended route and timing of nutritional support?

Accepted Answer

Commence early enteral nutrition (within 24-48 hours) via nasogastric or nasojejunal tube

Answer

Nil by mouth for 7 days, then commence parenteral nutrition

Answer

Commence total parenteral nutrition immediately as enteral feeding is contraindicated in severe pancreatitis

Answer

Wait until the ileus resolves clinically, then commence oral diet

Answer

Commence enteral nutrition only after the CRP has normalised

uk-fficm MCQ (SBA): Severe Acute Pancreatitis