Abstract

More than 30% of children admitted to the Pediatric Intensive Care Unit (PICU) are malnourished and are at risk to develop new or worsened malnutrition during their hospitalization. Delivery of enteral nutrition (EN) during hospitalization is associated with lower mortality and morbidity rates. Barriers to adequate delivery of EN include hemodynamic instability, feeding interruptions, feeding intolerance and lack of standardized feeding protocols. Gastrointestinal (GI) dysmotility during critical illness increases the risk of feeding intolerance due to increased influence of the Sympathetic Nervous System. Critically ill children have traditionally been fed via continuous gastric infusion under the assumption that slow, continuous feeding decreases the risk of intolerance and aspiration. However, GI physiology suggests GI motility is enhanced when the gut is rested between feedings. The purpose of this comparative effectiveness study was to evaluate two enteral feeding delivery modes, continuous versus bolus, on the attainment of prescribed caloric and protein nutritional goals and the frequency and type of feeding intolerance events in mechanically ventilated infants and children 1 month corrected gestation age through 12 years of age.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3671063; ProQuest document ID: 1645957733. The author still retains copyright.

Ann-Marie Brown

Author Details

Ann-Marie Brown, PhD, RN, CPNP-AC/PC, CCRN, FCCM

Sigma Membership

Delta Omega

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Randomized Controlled Trial

Research Approach

Pilot/Exploratory Study

Keywords:

Pediatric Patients, Tube Feeding, Enteral Feeding Methods

Advisor

Elaine Fisher

Degree

PhD

Degree Grantor

The University of Akron

Degree Year

2014

Rights Holder

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All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2019-06-10

Full Text of Presentation

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