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Comparison of Protocol-Based Continuous and Intermittent Tube Feeding in Mechanically Ventilated Critically Ill

Vijaya Kumar1, Jhuma Sankar1, Manisha Jana2

  • 1Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, 110029, India.

Indian Journal of Pediatrics
|December 8, 2023
PubMed

Insights

Continuous tube feeding (CTF) and intermittent tube feeding (ITF) showed no significant difference in the time critically ill children reached target calories and protein. Both enteral nutrition methods are equally effective for nutritional support.

Area of Science:

  • Pediatric critical care medicine
  • Clinical nutrition
  • Gastroenterology

Background:

  • Optimizing nutritional delivery is crucial for critically ill children.
  • Enteral nutrition is preferred, but delivery methods vary.
  • Continuous tube feeding (CTF) and intermittent tube feeding (ITF) are common methods.

Purpose of the Study:

  • To compare the efficacy of CTF versus ITF in critically ill children.
  • To determine the time to reach target calorie and protein intake.
  • To evaluate secondary outcomes including feed intolerance and mortality.

Main Methods:

  • Randomized trial in a Pediatric Intensive Care Unit (PICU).
  • Children randomized to CTF or ITF groups.
  • Primary outcome: time to reach 70% WHO target calories and 1.5 g/kg ASPEN target protein.

Main Results:

  • No significant difference in time to reach target calories (p=0.69) or protein (p=0.55) between CTF and ITF.
  • Median times for target calories: 1.7 days (CTF) vs. 1.8 days (ITF).
  • Other outcomes, including mortality and feed intolerance, were not significantly different.

Conclusions:

  • CTF and ITF demonstrate comparable effectiveness in achieving nutritional targets in critically ill children.
  • The choice of feeding method may not impact the speed of nutritional delivery.
  • Further research could explore patient-centered outcomes.
Abstract

Keywords:
Continuous versus intermittent feedingCritically ill childrenEnteral feedingFeed intolerance

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