Ibrahim Kadamani1, Mustafa Itani2, Eman Zahran3, Nadia Taha4. 1. Critical Care Nursing, Beirut Arab University, Lebanon. Electronic address: ibrahimkadamany@hotmail.com. 2. Associate Professor of Medicine, Beirut Arab University, Lebanon; Head of Pumonary/Critical Care Medicine, Rafik Hariri University Hospital, Beirut, Lebanon. Electronic address: mitani10@hotmail.com. 3. Professor of Emergency and Critical Care Nursing, Alexandria University, Egypt. Electronic address: emizahran@hotmail.com. 4. Professor of Emergency and Critical Care Nursing, Faculty of Nursing, Alexandria University, Egypt. Electronic address: nadia_taha_4@hotmail.com.
Abstract
UNLABELLED: Enteral nutrition (EN) for the critically ill and mechanically ventilated patients can be administered either via the continuous or bolus methods. However, there is insufficient evidence supporting which of these methods may have a lower risk of aspiration and gastrointestinal (GI) complications. This study was conducted in order to identify the incidence of aspiration and GI complications using continuous enteral nutrition (CEN) and bolus enteral nutrition (BEN) in critically ill patients at the Rafik Hariri University Hospital (RHUH), Beirut, Lebanon. METHODS: A pseudo-randomised controlled trial was conducted on 30 critically ill mechanically ventilated patients receiving EN for more than 72 h. Patients were randomly assigned into the following groups: an experimental group that received CEN and a control group that received BEN. Furthermore, patients' health characteristics data as well as the incidence of aspiration and GI complications (high gastric residual volume "HGRV", vomiting, diarrhoea, and constipation) were subsequently collected. RESULTS: There were no statistically significant differences between the effects of CEN versus BEN groups on the occurrence of aspiration, HGRV, diarrhoea, or vomiting (P>0.05). However, constipation was significantly greater in patients receiving CEN (10 patients (66.7%)) as compared with those receiving BEN (3 patients (20%)) (P=0.025). CONCLUSION:CEN versus BEN methods did not affect the incidence of aspiration, HGRV, vomiting or diarrhoea. However, the incidence of constipation was significantly greater in patients receiving CEN.
RCT Entities:
UNLABELLED: Enteral nutrition (EN) for the critically ill and mechanically ventilated patients can be administered either via the continuous or bolus methods. However, there is insufficient evidence supporting which of these methods may have a lower risk of aspiration and gastrointestinal (GI) complications. This study was conducted in order to identify the incidence of aspiration and GI complications using continuous enteral nutrition (CEN) and bolus enteral nutrition (BEN) in critically illpatients at the Rafik Hariri University Hospital (RHUH), Beirut, Lebanon. METHODS: A pseudo-randomised controlled trial was conducted on 30 critically ill mechanically ventilated patients receiving EN for more than 72 h. Patients were randomly assigned into the following groups: an experimental group that received CEN and a control group that received BEN. Furthermore, patients' health characteristics data as well as the incidence of aspiration and GI complications (high gastric residual volume "HGRV", vomiting, diarrhoea, and constipation) were subsequently collected. RESULTS: There were no statistically significant differences between the effects of CEN versus BEN groups on the occurrence of aspiration, HGRV, diarrhoea, or vomiting (P>0.05). However, constipation was significantly greater in patients receiving CEN (10 patients (66.7%)) as compared with those receiving BEN (3 patients (20%)) (P=0.025). CONCLUSION:CEN versus BEN methods did not affect the incidence of aspiration, HGRV, vomiting or diarrhoea. However, the incidence of constipation was significantly greater in patients receiving CEN.
Authors: Danlei Liu; Zhouqian Xu; Changchun Qu; Baoshan Huo; Hanqi Lai; Yang Li; Bin Liu; Huojin Deng; Qianwen Wang; Dujuan Li; Ping Chang; Sha Li; Hua Wang Journal: Nan Fang Yi Ke Da Xue Xue Bao Date: 2019-11-30
Authors: Hasan M Al-Dorzi; Abdullah Albarrak; Mazen Ferwana; Mohammad Hassan Murad; Yaseen M Arabi Journal: Crit Care Date: 2016-11-04 Impact factor: 9.097