Diarrhoea risk factors in enterally tube fed critically ill patients: A retrospective audit

Jack, Leanne; Coyer, Fiona; Courtney, Mary D.; Venkatesh, Balasubramanian

doi:10.1016/j.iccn.2010.08.001

Cited by 62 publications

(54 citation statements)

References 31 publications

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“…McClave et al (2002) and Opilla (2003) stated that critical care nurses should behave in a proactive way and strictly observe patients who are at risk for the development of pulmonary aspiration. Development of diarrhea in enterally fed patients was supported by research ( Btaiche et al, 2010 ;Bodoky & Kent-Smith, 2009 ;Jack et al, 2010 ). In this study, nurses attributed the development of diarrhea to feed contamination and antibiotic therapy.…”

Section: Discussionmentioning

confidence: 97%

Jordanian Critical Care Nursesʼ Practices Regarding Enteral Nutrition

Hammad

Al‐Hussami

Darawad

2015

Gastroenterology Nursing

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In Jordan, there is a gap in literature regarding nurses' practices of enteral nutrition. Thus, the purpose of this study was to assess nurses' practices regarding enteral nutrition of critically ill adult patients. A descriptive, cross-sectional design was used to collect data through self-reported questionnaires and descriptive analyses were used to display the results of the study. The results revealed that some aspects of enteral nutrition practices were consistent with the current best evidences such as initiation time of enteral nutrition and backrest elevation. On the contrary, some aspects showed variations and inconsistency with current best evidences such as the amount of high gastric residual volume and its management. Nurses' practices regarding enteral nutrition were not consistent with international guidelines. This inconsistency can predispose patients to underfeeding. Enhancement of research utilization is highly recommended as well as establishing evidence-based guidelines.

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Section: Discussionmentioning

confidence: 97%

Jordanian Critical Care Nursesʼ Practices Regarding Enteral Nutrition

Hammad

Al‐Hussami

Darawad

2015

Gastroenterology Nursing

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“…Depending on definition [135] , diarrhea occurs in up to 30% of patients in medical and surgical wards and more than 80% of patients in the intensive care unit (ICU) [136][137][138][139] .…”

Section: Diarrheamentioning

confidence: 99%

Gastroenteric tube feeding: Techniques, problems and solutions

Blumenstein

Shastri

Stein

2014

WJG

337

288

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Gastroenteric tube feeding plays a major role in the management of patients with poor voluntary intake, chronic neurological or mechanical dysphagia or gut dysfunction, and patients who are critically ill. However, despite the benefits and widespread use of enteral tube feeding, some patients experience complications. This review aims to discuss and compare current knowledge regarding the clinical application of enteral tube feeding, together with associated complications and special aspects. We conducted an extensive literature search on PubMed, Embase and Medline using index terms relating to enteral access, enteral feeding/nutrition, tube feeding, percutaneous endoscopic gastrostomy/jejunostomy, endoscopic nasoenteric tube, nasogastric tube, and refeeding syndrome. The literature showed common routes of enteral access to include nasoenteral tube, gastrostomy and jejunostomy, while complications fall into four major categories: mechanical, e.g., tube blockage or removal; gastrointestinal, e.g., diarrhea; infectious e.g., aspiration pneumonia, tube site infection; and metabolic, e.g., refeeding syndrome, hyperglycemia. Although the type and frequency of complications arising from tube feeding vary considerably according to the chosen access route, gastrointestinal complications are without doubt the most common. Complications associated with enteral tube feeding can be reduced by careful observance of guidelines, including those related to food composition, administration rate, portion size, food temperature and patient supervision.

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“…Overmanagement of constipation can cause diarrhea; the risk increases with a longer delay before first bowel action in ICU (Jack et al 2010). Additionally, unresolved long-standing constipation can lead to "overflow" diarrhea and should be excluded before any gut-slowing medications are considered.…”

Section: Constipationmentioning

confidence: 99%