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Related Experiment Videos

Nutritional intake in the critically ill: improving practice through research.

Andrea Marshall1, Sandra West

  • 1Critical Care Nursing Professorial Unit, Royal North Shore Hospital, NSW.

Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses
|March 12, 2004
PubMed
Summary

Critically ill patients often miss nutritional targets despite enteral feeding. This review examines literature on initiating enteral nutrition and assessing tolerance to improve delivery in intensive care units (ICUs).

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Area of Science:

  • Critical Care Medicine
  • Clinical Nutrition
  • Nursing Practice

Background:

  • Enteral feeding is crucial for critically ill patients, yet many fail to meet nutritional goals.
  • Variability in enteral feeding protocols and nursing practices exists across intensive care units (ICUs).
  • Lack of robust research contributes to inconsistent practices and reliance on tradition.

Purpose of the Study:

  • To review existing literature on commencing enteral feeding in critically ill patients.
  • To explore issues related to enteral nutrition suitability, methods, and rate adjustments.
  • To examine feeding intolerance, including gastric residual volume assessment and diarrhea.

Main Methods:

  • Literature review of studies on enteral feeding commencement and tolerance.

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  • Analysis of research addressing enteral nutrition delivery in intensive care settings.
  • Exploration of nursing practices and protocol variations.

    • Main Results:

    • Evidence suggests enteral feeding protocols improve delivery but remain highly variable.
    • Commencement and tolerance assessment are key areas with inconsistent practices.
    • Research gaps hinder the optimization of enteral nutrition delivery.

    Conclusions:

    • Standardizing enteral feeding protocols and practices is essential for critically ill patients.
    • Further research is needed to address variations in enteral nutrition delivery and tolerance assessment.
    • Improving enteral feeding practices can enhance nutritional support and patient outcomes.