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A pilot study to explore the safety of perioperative postpyloric enteral nutrition. Nutr Clin Pract 2012 Dec;27(6):777-80 PMID: 23093493

Pubmed ID

23093493

Abstract

BACKGROUND: The practice of holding enteral nutrition (EN) 8 hours prior to surgery is common. We hypothesized that it was safe to continue postpyloric EN, and we developed an institutional practice pattern to investigate our hypothesis.

METHODS: Our pilot study included intubated patients in the surgical intensive care unit at Froedtert Memorial Lutheran Hospital who received EN via a nasojejunal (NJ) feeding tube and underwent 1 or more surgical procedures. Demographic, illness, and injury information were collected as well as length of time to NJ placement, time to initiation of EN, EN interruptions, and complications. Additional hours of EN were calculated by totaling the number of hours a patient received EN past midnight on the day of surgery.

RESULTS: A total of 14 patients with mean (SD) age 44.3 (19.9) were included. Patients had a mean (SD) Injury Severity Score (ISS) of 26.1 (9.2) on admission and underwent a total of 38 operations following placement of a feeding tube. The most frequent operation performed was an orthopedic procedure (n = 17; 46.1%). The mean (SD) length of EN interruptions for a single procedure was 222.4 (206.9) minutes. Patients received an additional 11.9 (4.7) hours of EN over the course of their hospitalization and an additional 1064.9 (490) kcal/d per operation. There were no adverse events.

CONCLUSION: Perioperative continuation of postpyloric EN is feasible in some critically ill surgical patients and can result in additional calories provided. A multidisciplinary approach and an institutional policy can increase the likelihood of meeting nutrition goals in these patients.

Author List

McElroy LM, Codner PA, Brasel KJ

Author

Panna A. Codner MD Associate Professor in the Surgery department at Medical College of Wisconsin




Scopus

2-s2.0-84868678086   7 Citations

MESH terms used to index this publication - Major topics in bold

Adult
Critical Illness
Energy Intake
Enteral Nutrition
Female
Humans
Intensive Care Units
Intubation, Gastrointestinal
Length of Stay
Male
Middle Aged
Perioperative Care
Pilot Projects
Treatment Outcome
Young Adult
jenkins-FCD Prod-256 97250b83e4554f37bec91ca291f44ff4aedcc508