Open versus Closed Tube Feeding in Critically Ill Patients–Which is the Best?

Abstract

Although, Enteral Nutrition (EN) is a long established practice in critical care but, the ideal prescription and administration still represent a challenge. Patients admitted to intensive care unit, always receive less EN than the prescribed volume, leading to increase the risk of malnutrition, and contributing to negative hospital outcomes. Also contamination of the enteral formulations is very common and might lead to the occurrence of nosocomial infections in the form of diarrhea, bacteremia and pneumonia. EN delivery is available in two main systems: An Open System (OS) or Closed System (CS) which sometimes called a «Ready to Hang» system (RTH). Despite recognition of the importance of nutrition within the modern health agenda, evaluation of the efficacy of how such feeds are delivered (open or closed) is very limited. This review highlights current practice and areas of concern and establishes our current knowledge in this field.

Eventos adversos em terapia nutricional: percepção dos profissionais da equipe multiprofissional

“…Vale ressaltar que no sistema fechado, é relatado menor incidência de contaminação bacteriana e diarréia (Mickschl et al, 1990), maior alcance das necessidades calóricas (Atkins & Phillips, 2015) e menos formação de resíduos da fórmula, maior aproveitamento e praticidade para equipe de enfermagem (Sewify & Genena, 2017), reforçando as recomendações de órgão reconhecido internacionalmente em relação à adoção deste sistema por ser considerada a mais segura (Choban et al, 2013).…”