Nutrition and other medical problems in VS and MCS

Daniela Floridia, Valeria Conti-Nibali, Rocco Salvatore Calabrò, Placido Bramanti, Carlo Salviera

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Enteral nutrition is the delivery of nutrients in liquid form directly into the stomach, duodenum, or jejunum and it is an integral part of the therapeutic approach in patients affected by vegetative and minimally conscious state. Indeed, artificial nutrition is of primary importance in ensuring adequate nutrients for the prevention of protein and caloric deficit responsible for the highest increase in therapeutic failure, medical complications and mortality. Neurogenic dysphagia or preesophageal dysphagia is difficulty in swallowing food caused by disease or impairment of the nervous system.Perhaps, the most clinically apparent complication of neurogenic dysphagia is pulmonary aspiration, which may manifest itself acutely as choking or coughing, respiratory distress, wheezing, gasping or gurgling, and tachycardia. However, chronic symptoms (particularly in silent aspiration), including weight loss, production of excessive oral secretions and aspiration pneumonia may be also present.

Original languageEnglish
Title of host publicationChronic Disorders of Consciousness: From Research to Clinical Practice
PublisherNova Science Publishers, Inc.
Pages152-136
Number of pages17
ISBN (Print)9781626189409
Publication statusPublished - 2013

ASJC Scopus subject areas

  • Medicine(all)
  • Neuroscience(all)

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