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Nasogastric feeding practice in intensive care units: a study
Nursing Standard (Royal College of Nursing (Great Britain) : 1987)
|August 28, 1996
Summary
This study found inconsistent nasogastric feeding practices in an ICU, with significant calorie variations among patients. Despite over-prescribing, actual calorie delivery often met or exceeded prescribed amounts.
Area of Science:
- Critical Care Medicine
- Clinical Nutrition
Background:
- Nasogastric feeding is a common method for nutritional support in intensive care units (ICUs).
- Variability in clinical practice can impact patient outcomes.
Purpose of the Study:
- To examine the consistency and accuracy of nasogastric feeding practices in an ICU setting.
- To compare prescribed versus delivered caloric intake in critically ill patients.
Main Methods:
- Observational study over 135 feeding days.
- Inclusion of 26 intensive care unit patients meeting specific criteria.
- Analysis of prescribed and delivered caloric intake via nasogastric feeding.
Main Results:
- Identified inconsistent nasogastric feeding approaches.
- Observed significant variations in calorie delivery, with some patients receiving excess and others insufficient nutrition.
- Found that prescribed calories were often higher than actual patient needs.
- Noted that patients frequently received prescribed calories or high percentages thereof, exceeding prior reports.
Conclusions:
- Nasogastric feeding practices in the studied ICU were inconsistent.
- Despite over-prescribing, actual calorie delivery was often high, suggesting potential for improved feeding protocols.
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