Gut Luminal and Clinical Benefits of Early Enteral Nutrition in Shock

Circulatory shock and subsequent gut hypoperfusion turn on the ‘gut motor,’ which impairs gut barrier function, promotes dysbiosis, and generates immune dysfunction to perpetuate inflammation. Clinicians may be reluctant to commence enteral nutrition in circulatory shock out of concern for bowel ischemia and splanchnic steal syndrome. Here, we identify contemporary studies which have evaluated the impact of enteral nutrition during circulatory...