Nancy Coutris1, Justin P Gawaziuk2, Nora Cristall2, Sarvesh Logsetty2,3. 1. Health Sciences Centre, Winnipeg, Manitoba, Canada. 2. Manitoba Firefighter's Burn Program, Health Sciences Centre, Winnipeg, Manitoba, Canada. 3. Departments of Surgery and Psychiatry, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.
Abstract
BACKGROUND: Enteral nutrition (EN) is essential to meet the increased metabolic requirements of burn-injured patients. However, feeds are often suspended for care. This study examines the interruptions in EN (IEN). OBJECTIVE: To determine the frequency and duration of IEN and whether these interruptions are predictable or unpredictable. DESIGN: This retrospective chart review of 27 adult burn patients examined age, sex, body mass index, percentage of total body surface area, length of hospital stay, predicted energy requirements from equations and indirect calorimetry, EN start time, time EN reached goal rate, and interruptions to EN. RESULTS: Predictable interruptions accounted for 74.5% (frequency) and 81.6% (duration) of total interruptions. The most frequent and time-consuming interruptions were perioperative period, extubation, and tests/procedures (predictable) versus high gastric residual volume, emesis/nausea, and feeding tube displacement (unpredictable). CONCLUSIONS: Most IEN were due to predictable events. Based on these findings, compensating for predictable interruptions to meet nutritional requirements in burn patients is recommended.
BACKGROUND: Enteral nutrition (EN) is essential to meet the increased metabolic requirements of burn-injured patients. However, feeds are often suspended for care. This study examines the interruptions in EN (IEN). OBJECTIVE: To determine the frequency and duration of IEN and whether these interruptions are predictable or unpredictable. DESIGN: This retrospective chart review of 27 adult burn patients examined age, sex, body mass index, percentage of total body surface area, length of hospital stay, predicted energy requirements from equations and indirect calorimetry, EN start time, time EN reached goal rate, and interruptions to EN. RESULTS: Predictable interruptions accounted for 74.5% (frequency) and 81.6% (duration) of total interruptions. The most frequent and time-consuming interruptions were perioperative period, extubation, and tests/procedures (predictable) versus high gastric residual volume, emesis/nausea, and feeding tube displacement (unpredictable). CONCLUSIONS: Most IEN were due to predictable events. Based on these findings, compensating for predictable interruptions to meet nutritional requirements in burn patients is recommended.
Authors: Adam Czapran; William Headdon; Adam M Deane; Kylie Lange; Marianne J Chapman; Daren K Heyland Journal: Burns Date: 2014-10-22 Impact factor: 2.744
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Authors: Noe A Rodriguez; Marc G Jeschke; Felicia N Williams; Lars-Peter Kamolz; David N Herndon Journal: JPEN J Parenter Enteral Nutr Date: 2011-10-05 Impact factor: 4.016