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[Is jejunal feeding efficient in critically ill patients?]
Simru Tuğrul1, Ekrem Selçukoğlu, Perihan Ergin Ozcan
1I.U. Istanbul Tip Fakültesi Anesteziyoloji AD Cerrahi Monoblok, Capa 34390, Fatih, Istanbul. mtugrul@isbank.net.tr
Summary
Jejunal feeding allows for earlier achievement of caloric goals in ICU patients compared to gastric feeding. This method also resulted in fewer instances of vomiting and respiratory complications.
Area of Science:
- Critical Care Medicine
- Gastroenterology
- Nutritional Support
Context:
- Intensive Care Units (ICUs) frequently encounter challenges in providing adequate nutritional support to critically ill patients.
- Enteral nutrition is a cornerstone of management, with gastric and jejunal routes being common delivery methods.
- Optimizing caloric delivery is crucial for patient recovery and outcomes.
Purpose:
- To compare the efficacy and complications of jejunal versus gastric feeding in ICU patients.
- To assess the rate of achieving caloric requirements and identify associated nutritional complications.
- To evaluate differences in tolerance and biochemical markers between the two feeding methods.
Summary:
- Patients receiving jejunal feeding achieved their caloric requirements significantly earlier (3rd day) than those on gastric feeding (p < 0.001).
- The jejunal group demonstrated a 15-20% higher delivered calorie/goal calorie ratio, indicating better intake.
- Gastric feeding was associated with increased rates of vomiting (p < 0.01) and tracheal aspirate coloration (p < 0.05), though tracheal culture positivity did not differ.
Impact:
- Jejunal feeding facilitates earlier and more effective caloric delivery in ICU settings.
- This approach may reduce the incidence of feeding-related complications such as vomiting.
- Findings support the consideration of jejunal feeding for improved nutritional management in critically ill patients.