Prospective Randomized Control Trial of Intermittent Versus Continuous Gastric Feeds for Critically Ill Trauma Patients

Abstract

Patients from both the intermittent and continuous feeding regimens reached the goal during the study period of 7 days but the intermittent regimen patients reached goal enteral calories earlier. The intermittent gastric regimen is logistically simple and has equivalent outcomes to a standard drip-feeding regimen.

Nurse to Bed Ratio and Nutrition Support in Critically Ill Patients

“…1,2,[11][12][13][14] In those studies, the main causes of feeding interruption were gastrointestinal intolerance (gastric reflux, vomiting, or diarrhea), interruption for medical procedures, problems with the feeding tube, and airway management (extubation). 4,11,[13][14][15][16][17][18][19][20][21][22][23][24][25][26][27] Our study showed similar results. Few studies 12,16,22,28 evaluated the risk factors, intrinsic to the patient or not, that may predispose patients to interruption of enteral nutrition.…”

“…1,2,[11][12][13][14] The main factors responsible for the interruption of enteral nutrition are gastrointestinal intolerance (gastric reflux, vomiting, or diarrhea), procedures or examinations, problems with the feeding tube, and airway management. 4,[14][15][16][17][18][19][20][21][22][23][24][25][26][27] However, most previous studies involved evaluation of whether or not patients met their nutrition goals during the entire ICU stay rather than on a daily basis. Some factors that vary daily, such as doses of vasoactive and sedation drugs, have already been reported.…”

Ernährungssonden bei kritisch kranken Patienten

“…Eine abschließende Beurteilung der Vor und Nachteile einer kontinuierli chen, zyklischen, intermittierenden oder bolusweisen Gabe der Nahrung mit Be fürwortung einer Applikationsform kann bis dato nicht gestellt werden [29,33,36,58]. Es kann jedoch festgestellt werden, dass mit Zunahme der Kontinuität der Nahrungsapplikation eine leitlinienge rechte Medikamentengabe erschwert ist und die Gefahr der Interaktionen mit diesen Substanzen oder der intralumi nalen Verlegung der Sonde hierdurch er höht ist [67].…”

Enteral Nutrition After Advadvanced Combined Operative Interventions in Oncosurgery

“…Нет никаких доказательств того, какой путь введения энтерального питания, непрерывное или болюсное, предпочтительнее. В трех рандомизированных исследованиях сравнивали два подхода и не обнаружили никаких различий в смерт-ности, инфекционных осложнениях или продолжитель-ности пребывания в ОРИТ [37][38][39][40]. Тем не менее энте-ральное питание, как правило, вводят в виде непрерыв-ной или циклической инфузии.…”