Safety of minimizing preoperative starvation in critically ill and intubated trauma patients.

ABSTRACT:

Background

Cessation of enteral nutrition prior to an operation/procedure is the most common reason for feeding interruption in critically ill trauma patients and contributes to substantial calorie deficits. This study reports on a strategy to increase calorie intake by continuing feeds until transfer for operations/procedures.

Methods

Nutrition guidelines were modified in 2006 to allow continuation of feeding in intubated patients up until transfer to the operating room. Prior to 2006, enteral feeding was stopped at least 6 hours prior to surgery. A retrospective cohort design from 2003 to 2010 compared clinical outcomes in groups of adult trauma subjects before and after guideline changes and in subjects at other centers without guideline changes.

Results

During the

SUBMITTER: Parent BA 

PROVIDER: S-EPMC4877242 | biostudies-literature | 2016 Jun

REPOSITORIES: biostudies-literature