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Complications of enteral nutrition in hospitalized patients with artificial airways
Abstract:
This study investigated complications of enteral feeding in hospitalized patients with artificial airways. A prospective chart review, using a descriptive design, was used in this study of 51 inpatients in a large southeastern teaching hospital. A low (5.9%) incidence of pulmonary aspiration was found. Diarrhea was also found to be an infrequent complication (2%). The most common complication in this sample was interruption in continuous tube feedings: 24 patients (47%) experienced such interruptions, resulting in potential underfeeding. Further investigation of the adequacy of nutrition of hospitalized tube-fed patients with artificial airways is necessary to determine clinical significance.
Insights
Enteral feeding in patients with artificial airways had few pulmonary aspirations or diarrhea. However, interruptions in tube feedings were common, potentially leading to underfeeding. Further research is needed on nutritional adequacy.
Area of Science:
- Clinical Nutrition
- Critical Care Medicine
- Gastroenterology
Background:
- Enteral feeding is crucial for hospitalized patients requiring artificial airways.
- Complications associated with enteral feeding in this population require thorough investigation.
Purpose of the Study:
- To identify and quantify the incidence of complications in hospitalized patients with artificial airways receiving enteral feeding.
- To assess the frequency of pulmonary aspiration, diarrhea, and feeding interruptions.
Main Methods:
- A prospective chart review was conducted on 51 inpatients with artificial airways receiving enteral tube feedings.
- A descriptive study design was employed to analyze complication rates.
Main Results:
- The incidence of pulmonary aspiration was low at 5.9%.
- Diarrhea occurred infrequently, with an incidence of 2%.
- The most frequent complication was interruption of continuous tube feedings, affecting 47% of patients and risking underfeeding.
Conclusions:
- Enteral feeding in patients with artificial airways is associated with a low risk of pulmonary aspiration and diarrhea.
- Feeding interruptions are a significant concern, potentially compromising nutritional status.
- Further research is essential to evaluate the clinical significance of nutritional adequacy in these patients.