A Comparison of Continuous and Intermittent Enteral Nutrition in NICU Patients

Kocan, Mary Jo; Hickisch, Susan M.

doi:10.1097/01376517-198612000-00004

Cited by 77 publications

(59 citation statements)

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“…55 76 Enteral feeds taken orally cause less diarrhoea in healthy volunteers than the same quantities given by NG tube 77 suggesting that cephalic and gastrocolic reflexes are important in the aetiology of ETF diarrhoea. If this is true, bolus intragastric feeding should cause fewer problems than infused feeds as a bolus will stimulate more normal distal colonic motor suppression and promote water absorption in the ascending colon.…”

Section: Feed Delivery Site and Ratementioning

confidence: 99%

Guidelines for enteral feeding in adult hospital patients

Stroud

Duncan²,

Nightingale³

2003

Gut

293

258

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Section: Feed Delivery Site and Ratementioning

confidence: 99%

Guidelines for enteral feeding in adult hospital patients

Stroud

Duncan²,

Nightingale³

2003

Gut

293

258

View full text Add to dashboard Cite

“…The effect of the use of intermittent or continuous infusions on the rate of diarrhea is similarly controversial. 2,[27][28][29] The discordant results of the various studies may have been due in part to the small number of patients in the study groups, patient heterogeneity, and to the fact that previous studies did not compare both rates of infusion and the addition of fiber.…”

mentioning

confidence: 79%

The Addition of Fiber and the Use of Continuous Infusion Decrease the Incidence of Diarrhea in Elderly Tube-fed Patients in Medical Wards of a General Regional Hospital

Shimoni¹,

Averbuch

Shir

et al. 2007

Journal of Clinical Gastroenterology

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“…A few papers have partially addressed this issue by comparing continuous vs intermittent feedings and by looking at outcomes such as tolerance and safety. [1][2][3] What has not been previously addressed is which form of gastric feeding will lead to earliest achievement of nutrition goals.…”

Section: Pediatric Gastroenterology and Nutrition Division Of Pediatmentioning

confidence: 97%

Prospective Randomized Control Trial of Intermittent Versus Continuous Gastric Feeds for Critically Ill Trauma Patients

Hacker

Harvey-Banchik

2008

Nut in Clin Prac

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Background: This study compared an intermittent feeding regimen (one‐sixth of daily needs infused every 4 hours) with a continuous (drip) feeding regimen for critically ill trauma patients. There were two outcome variables: time to reach goal volume and the days on 100% of caloric needs via an enteral route in the first 10 days of the intensive care unit stay. Adverse events were also tallied. Methods: A prospective randomized trial was conducted in the trauma intensive care unit in a university Level I trauma center. A total of 164 trauma patients, 18 years of age and older were admitted to the trauma intensive care unit with a noninjured gastrointestinal tract and required more than 48 hours of mechanical ventilation. Patients were randomized to receive enteral nutrition via an intermittent feeding regimen versus a continuous feeding regimen. A single nutritionist calculated caloric and protein goals. A strict protocol was followed where hourly enteral intake, interruptions and their causes, diarrhea, and pneumonia were recorded, as well as standard guidelines for intolerance. Results: A total of 164 patients were randomized and 139 reached their calculated nutritional goal within 7 days. There were no statistical differences in complications of tube feeding. The patients intermittently fed reached the goal faster and by day 7 had a higher probability of being at goal than did the patients fed continuously (χ= 6.01, p= 0.01). Intermittent patients maintained 100% of goal for 4 of 10 days per patient (95% CI = 3.5–4.4) as compared with the drip arm goal for only 3 of 10 days per patient (95% CI = 2.7–3.6). Conclusions: Patients from both the intermittent and continuous feeding regimens reached the goal during the study period of 7 days but the intermittent regimen patients reached goal enteral calories earlier. The intermittent gastric regimen is logistically simple and has equivalent outcomes to a standard dripfeeding regimen.

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A Comparison of Continuous and Intermittent Enteral Nutrition in NICU Patients

Cited by 77 publications

References 0 publications

Guidelines for enteral feeding in adult hospital patients

Guidelines for enteral feeding in adult hospital patients

The Addition of Fiber and the Use of Continuous Infusion Decrease the Incidence of Diarrhea in Elderly Tube-fed Patients in Medical Wards of a General Regional Hospital

Prospective Randomized Control Trial of Intermittent Versus Continuous Gastric Feeds for Critically Ill Trauma Patients

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