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Enteral Feeding Protocol. The protocols derived from current research focus on when to start enteral nutrition formula selection prokinetic use supplemental parenteral nutrition handling gastric residual volumes and conditions or problems that may require enteral nutrition to be adjusted or stopped. 1 refeed gastric residual 2 continue with enteral nutrition. Accepted protocol or policy nor are intended to replace clinical judgment or dictate care of individual patients. However current studies showed conflicting results.
The article developed an enteral feeding protocol and planed a before and after comparative trial to explore whether implementation of enteral feeding protocol was able to improve clinical outcomes. Enteral feeding protocol start enteral nutrition as soon as possible after burn injury preferably within 24 hrs of burn injury if possible elevate hob to 45 degrees if possible if gastric feeding check grvs q 4 hrs. Ventilated patients should receive an orogastric tube ogt nasogastric tube ngt or dobhoff tube dht. Enteral feeding is a method of supplying nutrients directly into the gastrointestinal tract. The present study aimed to investigate whether enteral feeding protocol was able to improve clinical outcomes in critically ill patients. If enteral feeding is likely to be needed for periods of more than 4 6 weeks a gastrostomy tube can be inserted directly into the stomach through the abdominal wall using relatively simple endoscopic or radiological procedures.
A non randomized clinical trial volume 3 issue 3 2019 adriana garófolo 1 antonio sérgio petrilli 2 fábio ancona lopez 3 1department of otorhinolaryngology federal university of são paulo brazil 2adjunct professor department of pediatrics federal university.
Accepted protocol or policy nor are intended to replace clinical judgment or dictate care of individual patients. 12 care protocols used for a wide variety of conditions including. The study will be conducted in intensive care units icus of ten tertiary care academic centers. Enteral feeding protocol start enteral nutrition as soon as possible after burn injury preferably within 24 hrs of burn injury if possible elevate hob to 45 degrees if possible if gastric feeding check grvs q 4 hrs. Background and objective enteral nutrition en feeding protocol was proposed to have positive impact on critically ill patients. However current studies showed conflicting results.