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Title: Comparison of a 24-hour rate-based protocol to a 20-hour volume-based protocol on enteral nutrition delivery in a private intensive care unit.
Epworth Authors: Cleeve, Brydie
Guille, Caroline
Barrett, Johnathan
Brooks, Kyle
Keywords: Enteral Nutrition
Rate-Based Protocols
ASPEN/SCCM Guidelines
Volume-Based Protocol
Intensive Care Unit
Feeding Cessation
Feeding Duration
Issue Date: Oct-2023
Conference Name: Epworth HealthCare Research Month 2023
Conference Location: Epworth Research Institute, Victoria, Australia
Abstract: At Epworth HealthCare, enteral nutrition (EN) targets in have historically been based on continuous hourly rate-based protocols (RBP). The 2016 ASPEN/SCCM guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient support the use of a volume-based protocol (VBP) as they have been shown to empower nursing staff and increase the EN delivery. The adequacy of EN delivery in Epworth Richmond (ER) Intensive Care Unit (ICU) patients, had not been accurately quantified until the 2018 ER-ICU enteral feeding audit. This audit identified ER-ICU enterally fed patients received on average 75% of EN target volume daily and had feeds ceased for an average of 3.6 hours per day (most frequently between 0600-1000). Following the 2018 audit, practice was changed to deliver EN in ER-ICU via a 20-hour VBP. Audit data was used to develop a protocol tailored to the needs of ER-ICU, specifically the time of feeding cessation and the duration. The VBP provides EN from 1000-0600 hours, as 0600-1000 was identified as the priority time for fasting and extubation. It also includes a nursing driven “catch up rate” step to ensure the delivery of EN target volume each day.
Type: Conference Poster
Type of Clinical Study or Trial: Case Control Studies
Appears in Collections:Research Month

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Epworth Research Week - ICU EN Poster 2023 (final draft) 5.9_Brydie Cleeve.pdf218.87 kBAdobe PDFThumbnail

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