Document Detail


Compensatory increased enteral feeding goal rates: a way to achieve optimal nutrition.
MedLine Citation:
PMID:  21139131     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
BACKGROUND: Traditionally, enteral nutrition (EN) goal rates have been calculated based on an intended continuous 24-hour infusion rate. Many factors in the care of critically ill patients result in interruption of EN infusions, often for several hours daily, which may lead to significant underfeeding. The objective of this study was to evaluate the difference of daily EN volume deficits between a traditionally calculated infusion rate and a compensatory, higher calculated infusion rate in which the 24-hour volume was delivered over a 20-hour infusion period.
METHODS: Data collection consisted of daily EN volume deficit (intended volume - actual volume infused), based on intensive care unit nursing flow sheets. The primary outcome was daily EN volume deficit from a standard 24-hour calculated goal rate, compared with volume deficit from delivery of the same volume over 20 hours. For the 20-hour group, the calculated daily requirement of EN was divided by 20 rather than 24 for the higher hourly rate but still delivered for 24 hours.
RESULTS: One hundred ten baseline (24-hour) EN days were evaluated with a mean infusion volume deficit of (±)247 mL/d. This compared with 158 patients in the 20-hour infusion group, in which the mean volume deficit was (±)45 mL/d (P < .001). Enteral nutrition was most often held for extubation or procedures. A higher level of overfeeding was noted in the 20-hour infusion group.
CONCLUSION: Calculating and prescribing higher EN infusion rates, assuming 20 hours of actual infusion daily, promoted delivery of optimal nutrient provisions and avoidance of unintended malnutrition by significantly reducing caloric deficit from frequent EN holding.
Authors:
Kristen Lichtenberg; Patricia Guay-Berry; Angela Pipitone; Anna Bondy; Leo Rotello
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition     Volume:  25     ISSN:  1941-2452     ISO Abbreviation:  Nutr Clin Pract     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-12-08     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8606733     Medline TA:  Nutr Clin Pract     Country:  United States    
Other Details:
Languages:  eng     Pagination:  653-7     Citation Subset:  IM; N    
Affiliation:
Suburban Hospital, Bethesda, MD 20814, USA. klichtenberg@suburbanhospital.org
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Clinical relevancy of the levothyroxine-continuous enteral nutrition interaction.
Next Document:  Outcomes of percutaneous endoscopic gastrostomy tube placement using a T-fastener gastropexy device ...