A Review of Enteral Nutrition Practices in Critically Ill Adults in Resource Limited Environments

Enteral nutrition in critical care is a complex area of practice. A resource limited environment includes countries that are identified as low-income and low- middle income. This review describes three themes for its successful implementation of enteral nutrition in a resource limited environment. These include identification of patients at risk of malnutrition, using non-commercial feeds and the urgent need to develop practice. Malnutrition is a serious complication of critically illness and remains a crucial aspect of patient care in order to prevent complications. Further evidence to develop sustainable EN strategies for critically ill patients is urgently required. This is a paper commissioned as a part of the Humanitarian and Disaster Relief Operations special issue of BMJ Military Health