Abstract
Wide practice variation and weak guidelines exist when considering enteral feeding options and the decision to proceed with gastric or postpyloric enteral feeding in critically ill infants and children. The purpose of this pilot study is to explore provider decision making in early feeding of critically ill pediatric patients, review the indications for choice of enteral feeding access, and qualitatively explore the role of institutional culture in medical decision making.
Highlights
Nutrition is important for critically ill pediatric patients and has been shown to improve mortality, reduce infection, increase caloric intake, and improve healing [1,2,3]
Initial feeding tube decisions vary among providers, and many feel institutional culture and personal experience play a role in these decisions
There are strong recommendations for enteral nutrition over parenteral nutrition as the preferred method of delivering nutrients to critically ill pediatric patients, but there is currently no empirical consensus on whether gastric or postpyloric feeds are best for critically ill pediatric patients [1]
Summary
Nutrition is important for critically ill pediatric patients and has been shown to improve mortality, reduce infection, increase caloric intake, and improve healing [1,2,3]. Institutional practice varies widely and sometimes postpyloric feeds are Citation: Maya AM, Ehresmann KR, Mustafa MM, Taylor JA, Larson SD, et al (2022) Decision Making Surrounding Mode of Initial Enteral Feeding in Critically Ill Pediatric Patients. Wide practice variation and weak guidelines exist when considering enteral feeding options and the decision to proceed with gastric or postpyloric enteral feeding in critically ill infants and children. The purpose of this pilot study is to explore provider decision making in early feeding of critically ill pediatric patients, review the indications for choice of enteral feeding access, and qualitatively explore the role of institutional culture in medical decision making
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