ABSTRACT

History On the ward round with your consultant, you see a patient on intensive care. e patient had an emergency laparotomy for faecal peritonitis 5 days previously. He underwent a Hartmann’s procedure for a perforated sigmoid diverticulitis. He is currently being ventilated and has developed a hospital-acquired pneumonia. He is likely to require ventilation on intensive care for a number of days and the sta are concerned because he has not received any nutrition since his operation.