Abstract
Interruption of enteral nutrition (EN) is common in the intensive care unit (ICU). Frequent episodes of EN interruption can lead to protein and calorie debt with a potential impact on outcomes in critically ill patients [1, 2]. However, few studies have investigated the details of EN interruption practice including the reasons and duration of the interruption [3, 4]. A standard protocol to minimize EN interruption has not been established.
Highlights
Interruption of enteral nutrition (EN) is common in the intensive care unit (ICU)
In this retrospective single center survey, the current practice of EN interruption was investigated to support future development of an interruption-minimizing protocol. This is a review of 100 patients in the ICU more than 72 hours and receiving EN in a 12-bed, medical/surgical ICU in a tertiary care center between January and December 2013
Data were collected from the electronic medical record including patient demographic data; total time designated for EN; the number of EN interruption episodes; reason of each interruption episode categorized as: diagnostic examination, therapeutic intervention, and gastrointestinal (GI) events, and their individual subcategories; duration of each interruption episode; and presence of written orders for interruption
Summary
Interruption of enteral nutrition (EN) is common in the intensive care unit (ICU). Frequent episodes of EN interruption can lead to protein and calorie debt with a potential impact on outcomes in critically ill patients [1,2]. Few studies have investigated the details of EN interruption practice including the reasons and duration of the interruption [3,4]. A standard protocol to minimize EN interruption has not been established
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