Compensatory increased enteral feeding goal rates: A way to achieve optimal nutrition

Kristen Lichtenberg, Patricia Guay-Berry, Angela Pipitone, Anna Bondy, Leo Rotello

Research output: Contribution to journalArticle

Abstract

Background: Traditionally, enteral nutrition (EN) goal rates have been calculated based on an intended continuous 24-hour infusion rate. Many factors in the care of critically ill patients result in interruption of EN infusions, often for several hours daily, which may lead to significant underfeeding. The objective of this study was to evaluate the difference of daily EN volume deficits between a traditionally calculated infusion rate and a compensatory, higher calculated infusion rate in which the 24-hour volume was delivered over a 20-hour infusion period. Methods: Data collection consisted of daily EN volume deficit (intended volume - actual volume infused), based on intensive care unit nursing flow sheets. The primary outcome was daily EN volume deficit from a standard 24-hour calculated goal rate, compared with volume deficit from delivery of the same volume over 20 hours. For the 20-hour group, the calculated daily requirement of EN was divided by 20 rather than 24 for the higher hourly rate but still delivered for 24 hours. Results: One hundred ten baseline (24-hour) EN days were evaluated with a mean infusion volume deficit of (±)247 mL/d. This compared with 158 patients in the 20-hour infusion group, in which the mean volume deficit was (±)45 mL/d (P

Original languageEnglish (US)
Pages (from-to)653-657
Number of pages5
JournalNutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition
Volume25
Issue number6
DOIs
StatePublished - Dec 2010
Externally publishedYes

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Enteral Nutrition
Critical Care Nursing
Critical Illness
Intensive Care Units

Keywords

  • critical care
  • enteral nutrition
  • nutrition assessment
  • nutrition therapy
  • nutritional support

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics

Cite this

Compensatory increased enteral feeding goal rates : A way to achieve optimal nutrition. / Lichtenberg, Kristen; Guay-Berry, Patricia; Pipitone, Angela; Bondy, Anna; Rotello, Leo.

In: Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition, Vol. 25, No. 6, 12.2010, p. 653-657.

Research output: Contribution to journalArticle

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