Abstract
enterally, however, 12 patients received a combination of both enteral and parenteral nutrients. Gastric stasis was a frequent concern and post-pyloric feeding tubes were sited in 15 patients. Five patients received parenteral nutrition prior to the initiation of post-pyloric feeds. The provision of nutrition support did not meet these patients’ overall estimated energy or protein requirements. Consistent with the ICU literature, an average of 56% of estimated energy and 55% of estimated protein requirements were attained by the patients during their ICU admission. The most significant factor affecting this population’s nutritional intake was the frequency and duration of interruptions to enteral feeding, primarily surgery, extubation, and gastric stasis. In contrast to general ICU studies, this audit revealed interruptions by surgical procedures, not gastrointestinal intolerance, as the primary cause of feeding interruptions in this severe burns population. Conclusions: An outcome of this audit has been the development of a CRGH ICU feeding protocol incorporating recommendations for gastric residual volumes, prokinetic agents and early placement of post-pyloric feeding tubes. This feeding protocol will aid in standardising enteral feeding practices of both the general and this subgroup of the ICU population.
Published Version
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