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Related Concept Videos

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

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Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
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Related Experiment Video

Updated: Jun 16, 2025

Recapitulating Suckling-to-Weaning Transition In Vitro using Fetal Intestinal Organoids
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Implementing early feeding after liver transplant using implementation frameworks: A multimethod study.

Tahnie G Takefala1, Hannah L Mayr1,2,3, Raeesa Doola1,2,3,4

  • 1Department of Nutrition and Dietetics, Princess Alexandra Hospital, Brisbane, Queensland, Australia.

Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition
|August 17, 2024
PubMed
Summary
This summary is machine-generated.

Early nutrition after liver transplant improved significantly following an evidence-based protocol implementation. This study enhanced postoperative feeding practices, aligning them with guidelines and reducing delays in patient recovery.

Keywords:
ERASclinician perceptionsevaluationevidence‐based practiceimplementation scienceknowledge gapliver transplantationnutrition practicequalitative

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Area of Science:

  • Transplantation Medicine
  • Surgical Nutrition
  • Implementation Science

Background:

  • Evidence-based guidelines recommend initiating nutrition 12-24 hours post-liver transplant.
  • Current postoperative nutrition practices often deviate from these established guidelines.
  • Understanding clinician perspectives is crucial for improving feeding protocols.

Purpose of the Study:

  • To compare current postoperative nutrition practices with evidence-based guidelines after liver transplantation.
  • To explore healthcare professionals' perceptions of early postoperative feeding.
  • To implement and evaluate strategies for enhancing adherence to nutrition guidelines.

Main Methods:

  • A pre-post multimethod implementation study utilized the knowledge-to-action framework.
  • Retrospective chart audits assessed dietary practices, complemented by clinician interviews.
  • Implementation strategies were guided by the Consolidated Framework for Implementation Research.

Main Results:

  • An initial evidence-practice gap showed median nutrition initiation on postoperative day 2 (25% adherence to guidelines).
  • Clinician interviews revealed perceived importance of nutrition but highlighted practice variations and communication issues.
  • Post-implementation, median nutrition initiation shifted to postoperative day 1, with guideline adherence increasing to 60%.

Conclusions:

  • Implementation frameworks successfully improved early postoperative feeding practices in liver transplant patients.
  • The study demonstrated a significant improvement in aligning nutrition practices with evidence-based guidelines.
  • Further research is needed to confirm the long-term sustainability and clinical impact of these changes.