Document Detail


Interruption of enteral feedings in head injured patients.
MedLine Citation:
PMID:  7814914     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study was undertaken to determine differences between caloric intake and requirements of critically ill, enterally fed, neurosurgical and neurotrauma patients and to determine the nature and frequency of interruptions in enteral feedings in this same population. This descriptive, prospective study was conducted in a surgical intensive care unit (ICU) in a university teaching hospital. The sample consisted of 52 mechanically ventilated, critically ill patients with a mean age of 48.96 years who were receiving enteral nutrition for at least two days. Basal energy requirements, daily nutritional intake and enteral feeding interruption characteristics were recorded for a total of 586 study days. Underfeeding due to interruptions occurred in the majority of patients for the first eight days following initiation of enteral feeding. Reasons for underfeeding were interruptions of continuous tube feedings due to medication administration via the feeding tube (31%), feeding tube displacement (27%), surgery (12%), ileus (9%), radiologic studies (9%), airway management (8%), bedside procedures (3%) and agitation (1%). The frequency of these enteral feeding interruptions may indicate inadequate nutritional support, highlighting the importance of performing daily nutritional monitoring to prevent malnutrition.
Authors:
J Stechmiller; D M Treloar; D Derrico; H Yarandi; P Guin
Related Documents :
20350344 - A randomised study on the clinical progress of high-risk elective major gastrointestina...
9195264 - Improved wound healing in transtibial amputees receiving supplementary nutrition.
3097844 - Perioperative nutritional support in the cancer patient.
19896634 - The lacrimal bypass tube for lacrimal pump failure attributable to facial palsy.
24624304 - Coloplasty neorectum versus straight anastomosis in low rectal cancers.
1018084 - Rate and extent of functional recovery after flexor tendon grafting with and without si...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses     Volume:  26     ISSN:  0888-0395     ISO Abbreviation:  J Neurosci Nurs     Publication Date:  1994 Aug 
Date Detail:
Created Date:  1995-02-03     Completed Date:  1995-02-03     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8603596     Medline TA:  J Neurosci Nurs     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  224-9     Citation Subset:  IM; N    
Affiliation:
University of Florida College of Nursing, Gainesville 32610-0187.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Basal Metabolism
Clinical Nursing Research
Craniocerebral Trauma / metabolism,  therapy*
Critical Illness
Energy Intake*
Energy Metabolism
Enteral Nutrition*
Female
Humans
Male
Middle Aged
Nutrition Assessment
Nutritional Requirements*
Prospective Studies
Time Factors

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


Previous Document:  Creutzfeldt-Jakob disease: a review.
Next Document:  Understanding chronic pain after spinal cord injury.