Debunking the Myth: What do the Aspen and Critical Care Guidelines suggest regarding bowel sounds and EN support?
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3 min read
In critical care medicine, the once-standard practice of delaying enteral nutrition (EN) until the return of audible bowel sounds has been decisively overturned. Modern guidelines, including those from ASPEN and other critical care organizations, now recommend early EN initiation based on hemodynamic stability, shifting away from this unreliable indicator.