Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Click here for more infromation

Click here to sign up for SAGE Journal Email Alerts today!
Nutrition in Clinical Practice
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Marr, A. B.
Right arrow Articles by Moore, F. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Marr, A. B.
Right arrow Articles by Moore, F. A.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?

Invited Reviews

Gastric Feeding as an Extension of an Established Enteral Nutrition Protocol

Alan B. Marr, MD*, Margaret M. McQuiggan, MS, RD, CNSD{dagger}, Rosemary Kozar, MD, PhD{ddagger} and Frederick A. Moore, MD{ddagger},§

* Department of Surgery, Louisiana State University Health Sciences Centre, New Orleans, Louisiana;{dagger} Memorial Hermann Hospital, Houston, Texas;{ddagger} Department of Surgery, University of Texas–Houston Medical School, Houston, Texas;§ Trauma Services, Memorial Hermann Hospital, Houston, Texas

Correspondence: Frederick A. Moore, MD, Department of Surgery, University of Texas, Houston School of Medicine, 6431 Fannin, Suite 4.264, Houston, TX 77030. Electronic mail may be sent to Frederick.A.Moore{at}uth.tmc.edu.

Background: Indiscriminate gastric feeding in ICU patients imposes unacceptable risks of aspiration. Believing that a subset of ICU patients can be fed safely via the stomach, we have developed a protocol to identify appropriate patients and guide the bedside clinician in how to safely and effectively feed via the stomach. Methods: A literature search was done to identify appropriate medical literature. High grade evidence along with local expert opinions were used to develop a protocol. This protocol has been refined and implemented. Results: Based on perceived risk of aspiration, patients are assigned enteral access (ie, stomach vs. distal postpyloric). Enteral formula is selected based on patient characteristics. It is then advanced by a standard protocol with specific precautions while monitoring for symptoms of intolerance. Management of intolerance is dictated by the type and severity of intolerance. Conclusion: We have implemented a gastric feeding into a subset of our ICU patients. Gastric feeding requires certain precautions but appears to be safe. With more experience and better understanding of the pathogenesis gastroparesis, we believe that most ICU patients should be able to safely feed into the stomach. This is logistically easier than postpyloric feeding and offers physiologic advantages.

Nutrition in Clinical Practice, Vol. 19, No. 5, 504-510 (2004)
DOI: 10.1177/0115426504019005504
Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 Nutr Clin PractHome page
D. Z. Bliss
Monitors in Nutrition Support
Nutr Clin Pract, October 1, 2004; 19(5): 421 - 422.
[Full Text] [PDF]