Do critically ill patients tolerate early intragastric enteral nutrition?
| Autor: | Deborah J. Cook, D K Heyland, G H Guyatt, B Winder |
|---|---|
| Rok vydání: | 1996 |
| Předmět: |
Pediatrics
medicine.medical_specialty business.industry Critically ill Nausea Abdominal distension Critical Care and Intensive Care Medicine Intensive care unit law.invention Parenteral nutrition law Anesthesia Vomiting Medicine Simplified Acute Physiology Score medicine.symptom business Prospective cohort study |
| Zdroj: | Clinical Intensive Care. 7:68-73 |
| ISSN: | 1473-7752 0956-3075 |
| DOI: | 10.3109/tcic.7.2.68.73 |
| Popis: | Objective: To assess tolerance of intragastric enteral nutrition started within 24 hours of admission to an intensive care unit (ICU). Design: A prospective cohort study. Setting: A medical/surgical university-affiliated ICU. Subjects: We evaluated 73 consecutive eligible patients with an expected length of stay and anticipated intolerance to oral nutrition of more than three days. We enrolled 45 patients (27 [60%] male), aged 55.4±19.0 years with a mean Simplified Acute Physiology Score (SAPS) of 11.0±4.3. Admitting diagnoses included medical (n=16), trauma (n=13), neurosurgical (n=12) and neurological (n=4) conditions. Interventions: We utilised a protocol in which intragastric feedings were initiated at 10 ml/hr within 24 hours of admission, checking gastric residuals every 4 hours. Every 12 hours, the rate was increased by 25 ml/hr if the residual volume was 200 ml and accompanied by nausea, vomiting or abdominal distension, feeds were discontinued for 4 hour... |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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