Improving Nutrition in Mechanically Ventilated Patients

The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses
Corinne Schultz Ellis

Abstract

Although proper diet has been found to play an important role in patient outcomes, studies have shown that intensive care unit patients often receive inadequate nutrition. Moreover, it has been found that critically ill patients who are mechanically ventilated regularly receive even less nutrition. Inadequate nutrition has been associated with impaired immune response, increased susceptibility to infection, poor wound healing, and neuromuscular impairment. These factors lead to prolonged dependence on ventilators, protracted length of stay, and increased morbidity and mortality. This study investigates the use of an enteral nutrition (EN) protocol and its ability to prompt earlier initiation of feedings and more complete nutrition in mechanically ventilated patients to minimize such complications. In a sample of 51 mechanically ventilated patients admitted to an intensive care unit, percentage of prescribed calories received and percentage of feedings initiated with 24-48 hours of intubation were calculated before and after the initiation of an EN protocol. In the postintervention group (n = 18), 83.3% received EN with the first 24-48 hours after intubation, compared with 54.5% in the preintervention group (n = 33). In the post...Continue Reading

Associated Clinical Trials

References

Aug 14, 1999·Critical Care Medicine·S A McClaveH L Snider
Sep 15, 1999·JPEN. Journal of Parenteral and Enteral Nutrition·D A SpainH L Snider
Jan 22, 2002·Critical Care Medicine·P E Marik, G P Zaloga
Jul 24, 2007·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Naomi E JonesDaren K Heyland

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Citations

Oct 12, 2019·Nursing in Critical Care·Elizabeth A Jordan, Shelley C Moore
Jan 28, 2020·Nursing in Critical Care·Josef Trapani, Lyvonne N Tume

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