Effect of 2 Enteral Feeding Schedules on Intra-abdominal Pressure in Patients Receiving Mechanical Ventilation: A Randomized Controlled Trial
| Autor: | Muayyad M. Ahmad, Emad Zarief Kamel, Asmaa Mahgoup, Ghada Shalaby Khalaf Mahran |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Constipation medicine.medical_treatment Abdominal Injuries Critical Care Nursing Enteral administration Drug Administration Schedule law.invention 03 medical and health sciences Enteral Nutrition 0302 clinical medicine Randomized controlled trial 030202 anesthesiology law Pressure Humans Medicine Prospective Studies Mechanical ventilation business.industry 030208 emergency & critical care medicine General Medicine Middle Aged Abdominal distension Respiration Artificial Intensive care unit Parenteral nutrition Anesthesia Practice Guidelines as Topic Vomiting Egypt Female medicine.symptom business |
| Zdroj: | Critical Care Nurse. 39:29-35 |
| ISSN: | 1940-8250 0279-5442 |
| Popis: | Background Elevated intra-abdominal pressure is associated with morbidity in critically ill patients. Enteral feeding is important for these patients but may cause complications. Objective To compare the effects of 2 intermittent feeding schedules on intra-abdominal pressure in patients receiving mechanical ventilation. Methods A single-blinded, prospective, parallel-group, randomized controlled trial was conducted in an intensive care unit in a teaching hospital in Egypt. Fifty adult patients requiring more than 48 hours of mechanical ventilation were enrolled. Patients were randomly sorted into 2 study groups. The intervention group received intermittent enteral feedings 5 times daily at 4-hour intervals. The control group received intermittent enteral feedings 10 times daily at 2-hour intervals. Both groups fasted for 8 hours overnight. Intra-abdominal pressure was measured 7 times: at admission and before and after the first 3 feedings on the third day of the intensive care unit stay. Results One-way repeated-measures analysis of variance showed that mean intra-abdominal pressure was higher in the control group before the first feeding (t = 2.27, P = .03) but was higher in the intervention group after the second feeding (t = 2.51, P = .02) and after the third feeding (t = 2.41, P = .02). Vomiting and diarrhea were not significantly different between the groups. More constipation and abdominal distension occurred in the intervention group than in the control group. Conclusion Intra-abdominal pressure was not significantly affected by feeding interval. However, reducing the time interval between intermittent enteral feedings may minimize the risk for constipation and abdominal distension. |
| Databáze: | OpenAIRE |
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