2.50
Hdl Handle:
http://hdl.handle.net/10755/157179
Category:
Abstract
Type:
Presentation
Title:
Evidence-based Enteral Nutrition Guidelines in the PICU
Author(s):
Skillman, Heather; Wathen, Beth
Author Details:
Heather Skillman, The Children's Hospital, Aurora, CO, USA, email: skillman.heather@tchden.org; Beth Wathen
Abstract:
PURPOSE: Critically ill infants and children are vulnerable to the effects of prolonged metabolic stress, and many have preexisting malnutrition. Early enteral nutrition may influence morbidity and mortality. Variations in practice related to the initiation, advancement, and management of enteral nutrition were observed during interdisciplinary PICU rounds. Clinical practice guidelines are intended to improve patient outcomes through consistent application of evidenced based interventions. Description: The PICU dietitian and PICU Practice Council developed enteral nutrition guidelines following a thorough literature search. Strategies for feeding patients requiring invasive and non invasive ventilation, including standard mechanical ventilation, oscillation, CPAP, BiPAP, and those positioned prone were included. Separate guidelines were created for feeding children with severe acute pancreatitis. Guidelines were disseminated by inservicing staff, conducting monthly resident classes, creating laminated pocket cards, and were posted on the hospitalÆs PICU web site. Before and after implementation of the PICU Feeding Guidelines, data was collected to determine when enteral nutrition was initiated. It was hypothesized that enteral nutrition was started more promptly after protocol implementation. EVALUATION: Acceptance of the PICU Enteral Feeding Guidelines was universal. For six months prior to implementation, 108 patients started enteral nutrition within 1.81 + 1.54 days from PICU admission. During the first six months of protocol use, 136 patients started enteral feedings within 1.66 + 3.39 days (p = 0.7). Despite a lack of statistically significant results, the protocol appears to increase recognition of the importance of timely and appropriate enteral nutrition. Consistent feeding practices will provide our PICU with exciting opportunities to participate in multi-center studies designed to evaluate the effects of early enteral nutrition on important outcomes in PICU patients.
Repository Posting Date:
26-Oct-2011
Date of Publication:
26-Oct-2011
Citation:
2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.
Conference Date:
2009
Conference Name:
National Teaching Institute and Critical Care Exposition
Conference Host:
American Association of Critical-Care Nurses
Conference Location:
New Orleans, Louisiana, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleEvidence-based Enteral Nutrition Guidelines in the PICUen_GB
dc.contributor.authorSkillman, Heatheren_GB
dc.contributor.authorWathen, Bethen_GB
dc.author.detailsHeather Skillman, The Children's Hospital, Aurora, CO, USA, email: skillman.heather@tchden.org; Beth Wathenen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157179-
dc.description.abstractPURPOSE: Critically ill infants and children are vulnerable to the effects of prolonged metabolic stress, and many have preexisting malnutrition. Early enteral nutrition may influence morbidity and mortality. Variations in practice related to the initiation, advancement, and management of enteral nutrition were observed during interdisciplinary PICU rounds. Clinical practice guidelines are intended to improve patient outcomes through consistent application of evidenced based interventions. Description: The PICU dietitian and PICU Practice Council developed enteral nutrition guidelines following a thorough literature search. Strategies for feeding patients requiring invasive and non invasive ventilation, including standard mechanical ventilation, oscillation, CPAP, BiPAP, and those positioned prone were included. Separate guidelines were created for feeding children with severe acute pancreatitis. Guidelines were disseminated by inservicing staff, conducting monthly resident classes, creating laminated pocket cards, and were posted on the hospitalÆs PICU web site. Before and after implementation of the PICU Feeding Guidelines, data was collected to determine when enteral nutrition was initiated. It was hypothesized that enteral nutrition was started more promptly after protocol implementation. EVALUATION: Acceptance of the PICU Enteral Feeding Guidelines was universal. For six months prior to implementation, 108 patients started enteral nutrition within 1.81 + 1.54 days from PICU admission. During the first six months of protocol use, 136 patients started enteral feedings within 1.66 + 3.39 days (p = 0.7). Despite a lack of statistically significant results, the protocol appears to increase recognition of the importance of timely and appropriate enteral nutrition. Consistent feeding practices will provide our PICU with exciting opportunities to participate in multi-center studies designed to evaluate the effects of early enteral nutrition on important outcomes in PICU patients.en_GB
dc.date.available2011-10-26T19:29:31Z-
dc.date.issued2011-10-26en_GB
dc.date.accessioned2011-10-26T19:29:31Z-
dc.identifier.citation2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.en_GB
dc.conference.date2009en_GB
dc.conference.nameNational Teaching Institute and Critical Care Expositionen_GB
dc.conference.hostAmerican Association of Critical-Care Nursesen_GB
dc.conference.locationNew Orleans, Louisiana, USAen_GB
dc.identifier.citation2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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