Nutrition Therapy for the Critically Ill Surgical Patient

Drover, John W.; Cahill, Naomi E.; Kutsogiannis, Jim; Pagliarello, Giuseppe; Wischmeyer, Paul E.; Wang, Miao; Day, Andrew G.; Heyland, Daren K.

doi:10.1177/0148607110372391

Cited by 112 publications

(124 citation statements)

References 45 publications

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“…3,11 Yet, compared with medical patients, surgical patients are more likely to have delayed initiation of enteral nutrition and to receive a lower percentage of prescribed calories. 12 The purpose of our study was to investigate the association between calorie and protein deficits and important clinical outcomes in surgical ICU patients.…”

mentioning

confidence: 99%

Clinical Outcomes of Inadequate Calorie Delivery and Protein Deficit in Surgical Intensive Care Patients

Yeh¹,

Peev²,

Quraishi³

et al. 2016

American Journal of Critical Care

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mentioning

confidence: 99%

Clinical Outcomes of Inadequate Calorie Delivery and Protein Deficit in Surgical Intensive Care Patients

Yeh¹,

Peev²,

Quraishi³

et al. 2016

American Journal of Critical Care

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“…Enteral nutrition received by the patient must be digested for the patient to receive the beneficial ingredients in the formula. The benefits of meeting daily caloric needs with enteral nutrition include improved wound healing (Drover et al, 2010) and tissue maintenance (White et al, 2012). Patients also have a reduction in mortality when they receive their optimal energy requirements from enteral feedings (Alberda et al, 2009).…”

Section: Nutritional Supportmentioning

confidence: 99%

“…Such a protocol prescribes an algorithm for the nurse to compensate feeding volume missed during interruptions. A study conducted by Heyland et al (2010) investigated the feasibility of a volume-based protocol where the patient is prescribed a total volume for 24 hours. The rate corresponds to an algorithm based on hours and volume; when the enteral feeding is interrupted, the remaining volume is calculated.…”

Section: Recommendations and Implicationsmentioning

confidence: 99%

“…The rate corresponds to an algorithm based on hours and volume; when the enteral feeding is interrupted, the remaining volume is calculated. Then, using the algorithm, the new rate is determined to ensure that the twenty-four hour volume is administered as prescribed (Heyland et al, 2010). By creating a similar protocol, the patient is more likely to receive their total prescribed calories daily.…”

Section: Recommendations and Implicationsmentioning

confidence: 99%

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Do Patients in the Intensive Care Unit Receive Recommended Total Daily Calories with Enteral Feedings Using a Rate Based Protocol?

Schaefer

2015

Preprint

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When a patient is unable to eat or eat enough nutrients due to an illness or surgery, nutrition from another source may be required. Supplemental nutrition may be given in the form of enteral nutrition. The current practice is delivering enteral feedings on a rate based protocol to deliver calculated required calories over a specific length of time.Patients who receive enteral nutrition may have feedings interrupted due to a variety of reasons such as a procedure or diagnostic exam. Interruptions reduce the total daily calories delivered. If a patient does not achieve their total daily calories, it can be detrimental to the patient's health and may increase length of stay and costs of hospitalization. The purpose of this study was to determine if patients receive their recommended total daily calories of enteral nutrition using a rate based protocol. A retrospective research design was used to obtain data from patients who received enteral feedings while in the Intensive Care Unit. Data were collected on patients who were admitted to the unit between June 1, 2014 and August 31, 2014. 41 patients who received enteral feedings were included in this study. 80% of patients had their enteral feedings interrupted; most frequent reasons included diagnostic testing, residual volumes and procedures. Interruptions of the enteral feedings lasted between one hour and 24 hours in duration with a mean of 2.9 hours. The most frequent duration of interruption was one hour. Patients received a mean of 56.4% of their daily prescribed goal calories and 56.7% of their daily prescribed volume of enteral feedings. This study suggests that patients do not receive their daily prescribed calories using a rate based protocol.Recommendations for further research and advanced nursing practice are discussed.

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“…44 Therefore, basic principles need to be established and cemented to be able to successfully add immunonutrition and pharmaconutrition concepts when supporting such patients.…”

Section: Energy and Proteinmentioning

confidence: 99%

Immunonutrition: a South African perspective

Prins

Visser

2012

South African Journal of Clinical Nutrition

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Nutrition Therapy for the Critically Ill Surgical Patient

Abstract: Surgical patients receive less nutrition than medical patients. Cardiovascular and gastrointestinal surgery patients are at highest risk of iatrogenic malnutrition. Strategies to improve nutrition performance, including use of protocols, are needed.

Cited by 112 publications

References 45 publications

Clinical Outcomes of Inadequate Calorie Delivery and Protein Deficit in Surgical Intensive Care Patients

Clinical Outcomes of Inadequate Calorie Delivery and Protein Deficit in Surgical Intensive Care Patients

Do Patients in the Intensive Care Unit Receive Recommended Total Daily Calories with Enteral Feedings Using a Rate Based Protocol?

Immunonutrition: a South African perspective

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