ABSTRACT
Intensive care medicine in Chile is still in its dawn. It has experienced a progressive growth in the last decade, but continues to be weak. Although investments in the discipline have increased fivefold, there is still a severe deficiency of intensive care specialists. This issue will represent a serious problem in the near future. The Ministry of Health gathered an expert committee to study the problem and propose solutions for the future development of the discipline.
Subject(s)
Education, Medical, Graduate , Government Programs/education , Critical Care , ChileABSTRACT
La aplicación de protocolos de nutrición enteral que enfatizan el empleo de sondas nasoyeyunales ubicadas distal al ligamento de Treitz ha demostrado ser exitosas en pacientes con alto riesgo de aspiración. La nutrición enteral gástrica puede ser utilizada en pacientes con bajo riesgo de aspiración pero requiere de la evaluación periódica del residuo gástrico, aplicando determinadas conductas terapéuticas en relación a los valores obtenidos.