A.S.P.E.N. Enteral Nutrition Practice Recommendations

Bankhead, Robin; Boullata, Joseph I.; Brantley, Susan L.; Corkins, Mark R.; Guenter, Peggi; Krenitsky, Joe; Lyman, Beth; Metheny, Norma A.; Mueller, Charles; Robbins, Sandra; Wessel, Jacqueline

doi:10.1177/0148607108330314

Cited by 488 publications

(574 citation statements)

References 95 publications

(78 reference statements)

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“…The indications for use of an enteral tube are closely related to those clinical conditions in which the patient is not allowed, cannot, or does not want to receive a diet, medicines, and/or water by mouth (10) . Thus, in a study (11) that evaluated the use of EN in institutionalized elderly people, the authors showed that 68.1% of the indications for feeding devices occurred in acute situations and in emergency services.…”

Section: Introductionmentioning

confidence: 99%

Nasoenteral tube: factors associated with delay between indication and use in emergency services

et al. 2017

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Objective: to know the time between indication and use of a nasoenteral tube (NET) and factors associated with delays. Method: A prospective cohort study that followed adults in a Brazilian emergency department, since the indication of the use of a NET, evaluating clinical variables and the work process. The Generalized Estimated Equations model was adopted to identify factors associated with the delays in each stage of the process. Results: the time between indication and use of NET was 573 (IQR: 360-1,093) minutes, in 150 insertions of NET. Insertions in patients who previously did not use it; delays in the medical, nutrition, and nursing care routine; use of mechanical ventilation; noradrenaline; and fasting were factors for longer time before the use of the tube. Conclusion: the time between indication and use of NET was high, exceeding 10 hours in half of the cases. Factors related to the clinical condition of the patient and to the care management would contribute to delays. Descriptors: Nursing Care; Emergency Medical Services; Gastrointestinal Intubation; Treatment Time; Patient Safety. RESUMO Objetivo: conhecer o tempo entre indicação e uso da sonda nasoenteral (SNE) e fatores associados a atrasos. Método: coorte prospectiva que acompanhou adultos de uma Emergência brasileira, desde a indicação ao uso da SNE, avaliando-se variáveis clínicas e do processo de trabalho. Adotou-se o modelo de Equações de Estimações Generalizadas para identifi car fatores associados a atrasos em cada etapa do processo. Resultados: o tempo entre indicação e uso da SNE foi 573 (IQR: 360-1093) minutos, em 150 inserções de SNE. Inserções em pacientes que anteriormente não a utilizavam, retardos na rotina assistencial médica, da nutrição e enfermagem, uso de ventilação mecânica, noradrenalina e jejum foram fatores para maior tempo até o uso da sonda. Conclusão: o tempo entre indicação e uso de SNE foi elevado, excedendo 10 horas em metade dos casos. Fatores relacionados às condições clínicas do paciente e à gestão da assistência contribuiriam para atrasos. Descritores: Cuidados de Enfermagem; Serviços Médicos de Emergência; Intubação Gastrointestinal; Tempo para o Tratamento; Segurança do Paciente. RESUMENObjetivo: conocer el tiempo entre indicación y uso de sonda nasogástrica (SNG) y factores asociados a demoras. Método: cohorte prospectivo que observó adultos en Servicio de Urgencia brasileño, desde indicación hasta uso de la SNG, evaluándose variables clínicas del proceso de trabajo. Se adoptó modelo de Ecuaciones de Estimación Generalizada para identifi car factores asociados a demoras en cada etapa del proceso. Resultados: el tiempo entre indicación y uso de SNG fue 573 (IQR=360α1093) minutos, en 150 inserciones de SNG. Las inserciones en pacientes que no la utilizaban previamente, demoras en rutina de atención médica, Rev Bras Enferm [Internet]. 2017 mar-apr;70(2):326-34. 327Nasoenteral tube: factors associated with delay between indication and use in emergency services

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Section: Introductionmentioning

confidence: 99%

Nasoenteral tube: factors associated with delay between indication and use in emergency services

et al. 2017

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“…Pre-operative nutritional assessment was done in the form of anthropometry and blood investigations. Postoperatively patients were monitored according to standard orders of enteral nutrition [36]. Jejunostomy feed was started at the rate of 30 mL/h on post-operative days 2-5 and gradually increased every 8 h until desired rate was achieved (100-150 mL/h).…”

Section: Introductionmentioning

confidence: 99%

Study of Feeding Jejunostomy as an Add on Procedure in Upper Gastrointestinal Surgeries

Shenoy

Adapala

2013

Indian J Surg

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Jejunostomy is usually indicated as an additional procedure during major surgery of upper digestive tract to administer enteral nutrition in post-operative period. Complications associated with it can be mechanical, infectious, gastrointestinal or metabolic. The aim of the study was to evaluate safety of post-operative feeding jejunostomy in different types of major upper gastrointestinal surgeries. It was a prospective study conducted during the period between August 2009 and September 2011. Post-operative cases of major upper gastrointestinal surgeries who receive jejunostomy feeds were included in the study. Sampling was done by convenient method with sample size of 50 cases. Post-operatively, patients were monitored according to standard orders of enteral nutrition. Total calorie and protein intake through feeding jejunostomy was calculated regularly, and complications were assessed in terms of frequency, type, duration, management, and final outcome in different types of upper gastro intestinal surgeries. Analysis was done using chi square test with the help of statistical package SPSS vers.13. P < 0.05 was considered as significant. Complications observed were gastrointestinal −8 (16 %), mechanical −6 (12 %), infectious −4 (8 %) and metabolic −4 (8 %). Duration of complications ranged from 1 to 7 days (mean, 4 days). All types of complications observed during study were less severe and could be managed by simple measurements. Haemoglobin, serum albumin and weight of the patient at the time of discharge were improved for all patients when compared to pre-operative values. All patients received target calories and proteins through feeding jejunostomy. Considering benefits of enteral feeding via jejunostomy tube with minor and acceptable complications, we conclude that feeding jejunostomy is a preferred route of nutritional administration in those who undergo major upper gastro intestinal surgeries.

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“…Дана фаза характе-ризується підвищенням активності процесів метабо-лізму, а саме прискоренням катаболізму (в перифе-ричних і уражених тканинах і органах) й анаболізму (продукуються гострофазові білки) [21,22].…”

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“…Їх висока концент-рація підвищує споживання глюкози, обумовлює поча-ток протеолізу та ліполізу, що зумовлюють від"ємний білковий і ліпідний баланси. Для оптимального забез-печення енергетичного балансу людей із соматичними захворюваннями та травмами належною кількістю мак-ро-та мікронутрієнтів одразу з настанням фази FLOW рекомендується розпочинати нутрітивну підтримку за допомогою спеціальних харчових продуктів [21,22].…”

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Conceptual bases for the development of food products for the military persons in extreme conditions

Prytulska¹,

Karpenko²,

Fedorova³

et al. 2017

ScienceRise

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A.S.P.E.N. Enteral Nutrition Practice Recommendations

Cited by 488 publications

References 95 publications

Nasoenteral tube: factors associated with delay between indication and use in emergency services

Nasoenteral tube: factors associated with delay between indication and use in emergency services

Study of Feeding Jejunostomy as an Add on Procedure in Upper Gastrointestinal Surgeries

Conceptual bases for the development of food products for the military persons in extreme conditions

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