Success Rate of Volume Based Feeding in Intensive Care Unit, An Observational Study
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 6
Abstract
Background: Administration of early enteral feeding in critically ill patients was shown to improve outcome. However achieving target calorie and protein is found to be sub optimal in a proportion of critically ill patients. Fixed rate feeding and frequent feed interruptions for interventions are a major contributing factor for suboptimal energy and protein delivery. However volume based feeding in which target volume delivered over a given time with adjustable infusion rate is recommended by American Society of Enteral and Parenteral Nutrition. In this study we tried to find out the success rate of volume based feeding. Methods: This was a prospective observational study. Proportion of feed days in which more than 80 % feed volume achieved was the primary objective and proportion of feed days in which more than 80 % calorie and protein achieved was the secondary objective. A volume based feeding protocol was implemented in the unit. Patients were followed up until they were transferred out from intensive care unit or until tube feeding stopped. Daily feed volume, calorie and protein achieved were audited. Results: More than 80% prescribed volume, calorie and protein were delivered in 95%, 85.7% and 56.12% of enteral nutrition days respectively. In 98.7% of enteral nutrition days volume based feed is tolerated without any adverse events. Conclusions: Volume based feed is safe and with prompt training of staff in delivering volume feeds, adequate nutrition can be delivered for patients in case of any interruption of feed
Authors and Affiliations
Sureshkumar. V. K
Keywords
Related Articles
- EP ID EP493917
- DOI -
- Views 52
- Downloads 0
Prevalence and risk factors of Peripheral Arterial Disease in Type 2 Diabetes Mellitus
Introduction: Type 2 diabetes mellitus is generally associated with vascular complication like nephropathy, retinopathy, neuropathy, coronary artery disease and peripheral vascular disease. Microalbuminuria has a strong...
A Report on Outbreak investigation of Dengue in Bihar in 2015
Dengue outbreak is repeatedly being reported in Bihar. In 2015, many districts were affected with the disease. Outbreak investigation was carried in Patna, Bhojpur, Aurangabad and Gaya district Bihar to determine the cau...
Normative Data for Upper Limb Nerve Conduction Study in North India
Introduction: Nerve conduction study assesses peripheral motor and sensory functions by recording the evoked response to electrical stimulation of peripheral nerves. Nerve conduction studies have become a simple and reli...
A Clinical Scenario of Corneal Ulcer in A Rural Based Hospital
Purpose: Corneal ulcer is one of the major causes of blindness in developing countries Predisposing factors related to corneal ulcer are trauma, chronic ocular surface disease, contact lens usage, ocular surgery, corneal...
Aqueous extract of Cynodon dactylon may be an effective option with reduced risk of side effect for the treatment of Diabetes Mellitus
Though different types of oral hypoglycaemic drugs are available along with insulin for the treatment of type-2 Diabetes Mellitus, but they have significant side effects and sometimes they are found to be ineffective in...