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feeding protocols

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4.9 - Nutritional Assessment and Support in Intensive Care (Enteral and Parenteral Nutrition)
from Section 4 - Therapeutic Interventions and Organ Support
- By Liesl Wandrag
Edited by Ned Gilbert-Kawai, The Royal Liverpool Hospital, Debashish Dutta, Princess Alexandra Hospital NHS Trust, Harlow, Carl Waldmann, Royal Berkshire Hospital, Reading
Book:

Intensive Care Medicine

Published online:

27 July 2023

Print publication:

01 December 2021, pp 510-514
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Summary

Key Learning Points
1. Intubated patients should usually receive nutritional support within 24–48 hours of admission.
2. Enteral nutrition is the preferred route of feeding, where feasible.
3. The National Patient Safety Agency (NPSA) advises that nasogastric tubes (NGTs) should be checked after initial placement and daily before use with either chest X-ray or pH paper (pH <5.5) to ensure correct stomach placement.
4. Feeding protocols are strongly encouraged to ensure that nutritional support is initiated, increased and monitored appropriately.
5. Parenteral nutrition should start early when enteral nutrition is not feasible in high-risk or poorly nourished patients.