Intermittent Nasogastric Feeding Research Articles

Study of Comparison of Continuous Nasogastric Feeding versus Intermittent Nasogastric Feeding in Stable Very Low Birth Weight Infants

Study of Comparison of Continuous Nasogastric Feeding versus Intermittent Nasogastric Feeding in Stable Very Low Birth Weight Infants

A COMPARATIVE EVALUATION OF CONTINUOUS AND INTERMITTENT NASOGASTRIC FEEDING IN LBW NEONATES.

Background: To compare outcome between continuous and intermittent nasogastric feeding in low birth neonates. Objective: The aim of this study was to compare outcome between continuous and intermittent nasogastric feeding in low birth neonates. Methods: 80 Patients were randomally divided in two groups i.e group A and group B. The neonates in the Group A received continuous nasogastric feed via continuous infusion pump while in Group B neonates received intermittent nasogastric feed in the form of boluses every 2-3 hour over 15-20 minute duration. Each neonate was followed for 15 days, Then data was collected and analysed. If there were no other clinical signs, feeding was stopped for three hours . After 15 days outcomes were recorded and analaysed that which feed had better results. Result: Mortality was reported more in group B as compared to group A. Morbidity was reported more in group B as compared to group A. Regaining of birth weight (in days) was found earlier in group A as compared to Group B. Conclusion : While comparing continuous feeding with intermittent feeding in low birth weight neonates we reached on conclusion that continuous feeding is better then intermittent feeding in terms of various outcomes.

Efficacy of Uninterrupted Vs. Intermittent Naso Gastric Feeding on Patient Outcome among Critically Ill Patients Admitted in Intensive Care Units

Appropriate nutritional support is effective on achievement of expected outcomes in intensive care unit(ICU) patients. Although several studies have suggested different conclusions about the effectivenessof tube feeding methods, there is no specific program of nutritional support for patients who have beenhospitalized. There is a possibility for complications due to an inadequate nutrition. A Quasi experimentalstudy by using purposive sampling technique was conducted on 40 patients n1= 20, n2= 20 who wereadmitted in ICUs of a tertiary care hospital, Ludhiana, Punjab. Data was collected by using a self-structuredchecklist to assess the efficacy of uninterrupted vs. intermittent naso gastric feeding among critically illpatients. Most of the patients were above 40years of age in both experimental and control groups. Out of 40samples 25 were males. In addition, majority of patients were married. More than half 26 (65.00%) patientswere from urban area. Moreover, majority of patients were from Sikh religion 24 (60%) and only 1 (2.5%)were Muslims. In addition 8 (20%) patients were graduate and 11 (27.5%) were in illiterate category. It isseen that 19 (47.5%) were working in both experimental and control group whereas, 21 (52.5%) were nonworking in experimental and control groups. It is estimated that half 20 (50%) patients were known case ofsepsis and majority, 25 (62.5%) had diabetes and only 12 (30%) had renal disease. Approximately 6 (30%)of the patients were having ventilator support in experimental group whereas, in control group 8 (40%)of patients were on ventilator support. It is evident that there were 5 (25.36%) patients in experimentalgroup who had prior admission with the same pathological condition whereas 7 (37.43%) were in controlgroup. It is revealed that some patients have multiple co-morbidities. Among co-morbidities majority 25(62.5%) of the patients were known cases of diabetes mellitus in both groups. It is evident that diarrhoea waspresent in control group 13 (65%) as compared to experimental group it was only 3 (15%) and there was nopresence of vomiting in any group. Whereas, constipation, abdominal distension and high gastric residualvolume was higher in control group as compared to experimental group. It is concluded that uninterruptednaso gastric feeding is better than the intermittent naso gastric feeding in reference to patient outcome andgastrointestinal problems.

The effectiveness of intermittent nasogastric feeding on enteral nutrition of critical patients: a Meta-analysis

Objective To systematically evaluate the effectiveness of intermittent nasogastric feeding on enteral nutrition of critical patients. Methods The relevant randomized controlled trials were searched in the Cochrane Library, PubMed, EMbase, Web of Science, JBI Library and the databases of China National Knowledge Infrastructure (CNKI), China Scientific Journal Database by VIP (VIP), Wanfang Database. The studies were selected according to the inclusion and exclusion criteria by two reviewers. Meta-analysis was conducted by using RevMan 5.2. Results Nine RCTs were included involving 558 patients. The results of meta-analysis showed that intermittent nasogastric feeding was greater than continuous pump feeding in the incidence of constipation, OR=0.32, 95%CI 0.14~0.71, P 0.05) . Conclusions Intermittent nasogastric feeding and continuous pump feeding did not affect the incidence of diarrhea, aspiration pneumonia, gastric residuals, vomiting, abdominal distension and the effects of nutrition. However, the incidence of constipation was significantly less in patients receiving intermittent nasogastric feeding. Key words: Intubation, gastrointestinal; Meta-analysis; Enteral nutrition

Application of intermittent gravity tube feeding on very low birth weight infants in NICU

Objective To evaluate the effects of intermittent nasogastric feeding on neonatal intensive care unit （ NICU） on very low birth weight infants gastrointestinal complications .Methods Two hundred and fifteen very low birth weight infants were randomly assigned to either observation group （ n=106 ） or the control group （ n=109 ） .Infants in the observation group received intermittent gravity tube feeding .Infants in the control group received continuous drip tube feeding .Weight increase , total parenteral nutrition time , length of stay and complication were assessed .Results Observation group of very low birth weight infants when were turned out of the NICU, weight increased to（1 397.0 ±22.10）g, higher than the control group （1 320.0 ± 18.25）g, was statistically significant difference （t=2.26,P〈0.05）;total parenteral nutrition time, length of stay in NICU were （4.94 ±0.70）,（9.69 ±7.19）d,in observation group, were lower than the control group [（4.74 ±0.74）,（11.63 ±4.02）d], differences were statistically significant （t=2.72,4.85,respectively;P〈0.01）.The incidence of abdominal distention , vomiting, diarrhea, upper gastrointestinal bleeding in observation group were lower than the control group , and had statistical significance （P〈0.05）.However, the very low birth weight infants had not occurred necrotizing enterocolitis in two groups .Conclusions Intermittent nasal tube feeding can reduce the complications of enteral nutrition , shorten the time of hospitalizationand increased body weight growth rate . Key words: Very low birth weight infants; Complications; NICU; Gravity tube feeding

The Effect of Intermittent Nasogastric Feeding on Preventing Aspiration Pneumonia in Ventilated Critically Ill Patients

This randomized, controlled study employed two feeding protocols for 107 participants in two intensive care units (ICUs) of a medical center to investigate the efficacy of intermittent nasogastric (NG) feeding in preventing aspiration pneumonia in critically ill patients on ventilators. The participants were randomly assigned to receive continuous (51 patients) or intermittent (56 patients) feeding. The primary outcomes, including gastric emptiness index and pulmonary aspiration index, were examined on Day 0 and Day 7 of the intervention. In addition, patients were followed up to the 21st day to evaluate the secondary outcomes, which included length of stay (LOS) in the ICU and airway status. The results showed that the patients in the intermittent feeding group had a higher total intake volume at Day 7 (p = .000), had been extubated earlier at Day 21 (p = .002), and had a lower risk of aspiration pneumonia (odds ratios: 0.146, 95% CI = 0.062-0.413, p = .000) than the patients in the control group. Participants being treated with a high dose of dopamine were 2.95 times more likely to get aspiration pneumonia than those receiving a low dose of dopamine (95 % CI = 1.076-8.107, p = .035). However, there was no significant difference between the two groups'; LOS. The results of this study provide evidence that clinical caregivers may use to make better decisions in terms of feeding methods for critically ill patients.

Continuous Feeding Promotes Gastrointestinal Tolerance and Growth in Very Low Birth Weight Infants

To compare the effects of continuous versus intermittent feeding on gastrointestinal tolerance and growth in very low birth weight (VLBW) infants. In a randomized, controlled trial conducted at 3 neonatal units, 70 premature infants with a gestational age 24 to 29 weeks and birth weight < 1200 g were assigned to 1 of 3 feeding methods: continuous nasogastric feeding, intermittent nasogastric feeding, or intermittent orogastric feeding. Feeding was initiated within 30 hours of birth. Daily enteral and parenteral volumes, caloric and protein intakes, growth, enteral intolerance, and clinical complications were recorded. Cox regression analysis was used to determine primary outcome, the time to achieve full enteral feeding. The continuously fed infants achieved full enteral feeding significantly faster than the intermittently fed infants (hazard ratio [HR] = 1.86; 95% confidence interval [CI] = 1.07 to 3.22). In stratified analysis according to birth weight, the improvement was even more pronounced in the smallest infants, those with birth weight < or = 850 g (adjusted HR = 4.13; 95% CI = 1.48 to 11.53). Growth rate was significantly faster in the continuously fed infants ( P = .002). In VLBW infants, continuous feeding seems to be better than intermittent feeding with regard to gastrointestinal tolerance and growth.

Enhanced sucking engagement by preterm infants during intermittent gavage feedings.

Non-nutritive sucking (NNS) activities were recorded in preterm infants born at gestational age 32 weeks or less during nasogastric feedings. Six infants on intermittent nasogastric feeding schedules were tested with a pacifier in their mouth for three 5-minute periods (before, during, and after gavage feeding). Analysis of the recordings revealed that NNS activities increased markedly during the intermittent nasogastric feeding schedule. The overall proportions of sucking engagement, the mean duration of sucking burst, the mean number of sucks per burst, and the mean duration of individual sucks within a burst increased markedly during gavage feeding compared with both pre-test and post-test periods. NNS by a group of five infants on continuous nasogastric feedings was similar to the pre-test and post-test of the infants on the intermittent nasogastric feeding schedule. These results indicate that in the context of intermittent nasogastric feedings, NNS engagement in tube-fed infants depends on stomach cues and/or temperature changes associated with tube feedings.