Comparison of Intermittent and Bolus Feeding on Pulmonary Aspiration in Patients With Sepsis, Hospitalized at Intensive Care Units: A Triple Blind Randomized Controlled Trial

Ahangari, Mojtaba; Farsi, Zahra; Dadgari, Fahimeh

doi:10.18869/acadpub.mcs.3.3.156

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Volume 3, Issue 3 (Military Caring Sciences 2016)

MCS 2016, 3(3): 156-164

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Comparison of Intermittent and Bolus Feeding on Pulmonary Aspiration in Patients With Sepsis, Hospitalized at Intensive Care Units: A Triple Blind Randomized Controlled Trial

Mojtaba Ahangari¹

, Zahra Farsi ^*

², Fahimeh Dadgari³

1- MSc Student in Critical Care Nursing, Iran, Tehran, AJA University of Medical Sciences, Faculty of Nursing.
2- PhD in Nursing, Associate Professor, Iran, Tehran, AJA University of Medical Sciences, Faculty of Nursing, Community Health Department
3- MSc in Nursing, Instructor, Iran, Tehran, AJA University of Medical Sciences, Faculty of Nursing, Psychiatric Nursing Department

Abstract: (14212 Views)

Introduction: Nutrition is a basic human need and a great challenge at intensive care units. Studies have shown that unsuitable nutrition can be a risk factor for many complications including aspiration.

Objective: The purpose of this study was to compare two methods of bolus and intermittent feeding on aspiration in patients with sepsis, hospitalized at intensive care units.

Materials and Methods: This study was a triple blind randomized controlled trial that was performed on 60 patients with sepsis, hospitalized at the intensive care units of Chamran Hospital, Tehran, Iran, for three days, during years 2015 and 2016. Patients were divided to three groups (bolus feeding, intermittent feeding and control). Methylene blue solution was used to evaluate pulmonary aspiration of the patients. Therefore, aspiration was emphasized with suctioning of the respiratory tract and assessing lung secretions in terms of blue color of methylene blue solution. The SPSS (version 22) software was used to analyze the data.

Results: The Kruskal-Wallis test indicated no significant difference between groups in terms of frequency of aspiration in three days (P>0.05). Friedman and Cochran tests also showed no significant difference in pulmonary aspiration during the three consecutive days in each of the groups (P>0.05).

Discussion and conclusions: The present study showed no significant difference among the three groups (bolus feeding, intermittent feeding and routine) in terms of aspiration. More studies with larger sample sizes during longer period are suggested.

Keywords: Aspiration, Bolus Feeding, Intensive Care Unit, Intermittent Feeding, Sepsis.

Full-Text [PDF 356 kb] (3931 Downloads)

Type of Study: Research | Subject: Special
Received: 2016/06/22 | Accepted: 2016/08/6 | Published: 2016/12/21

References

1. World Health Organization. Health topic/Nutrition 2014 [updated 2016; cited 2014]. Available from: http://www.who.int/topics/en.

2. Beghetto MG, Koglin G, de Mello ED. Influence of the assessment method on the prevalence of hospital malnutrition: a comparison between two periods. Nutr Hosp. 2010;25(5):774-80. PMID: 21336435 [PubMed]

3. Cove ME, Pinsky MR. Early or Late Parenteral Nutrition: ASPEN vs ESPEN 2014 [updated 2015; cited 2014]. Available from: http://www.ccforum.com/content/pdf/cc10591.pdf.

4. Musazadeh S, Khalegh Dost T. [Comparison of the incidence of pulmonary aspiration in two ways intermittent bolus feeding and intermittent drip bag]. J Crit Care Nurs. 2012;5(1):1-11.

5. Arbeloa CS. Enteral nutrition in critical care 2014 [updated 2016; cited 2014]. Available from: http://www.jocmr.org/index.php/JOCMR/article/view/1210/570.

6. Hoseinpour S, Naderi Z, Hoseinpour N. [The prevalence f malnutrition in hospitalized patients Taleghani Hospital in Tehran]. J Gorgan Univ Med Sci. 2011;13(4):97-9.

7. Sheean PM, Peterson SJ, Zhao W, Gurka DP, Braunschweig CA. Intensive medical nutrition therapy: methods to improve nutrition provision in the critical care setting. J Acad Nutr Diet. 2012;112(7):1073-9. DOI: 10.1016/j.jand.2012.02.007 PMID: 22579721 [DOI] [PubMed]

8. Bengmark S. Nutrition of the critically ill - emphasis on liver and pancreas. Hepatobiliary Surg Nutr. 2012;1(1):25-52. DOI: 10.3978/j.issn.2304-3881.2012.10.14 PMID: 24570901 [DOI] [PubMed]

9. Schmidt GA. Management and evaluation of severe sepsis and septic shock 2014 [updated 2016; cited 2014]. Available from: http://www.uptodate.com/contents/evaluation-and-management-of-severe-sepsis-and-septic-shock-inadults.

10. Pasinato VF, Berbigier MC, Rubin Bde A, Castro K, Moraes RB, Perry ID. Enteral nutritional therapy in septic patients in the intensive care unit: compliance with nutritional guidelines for critically ill patients. Rev Bras Ter Intensiva. 2013;25(1):17-24. PMID: 23887755 [PubMed]

11. Levy MM, Dellinger RP, Townsend SR, Linde-Zwirble WT, Marshall JC, Bion J, et al. The Surviving Sepsis Campaign: results of an international guideline-based performance improvement program targeting severe sepsis. Intensive Care Med. 2010;36(2):222-31. DOI: 10.1007/s00134-009-1738-3 PMID: 20069275 [DOI] [PubMed]

12. Hegazi RA, Wischmeyer PE. Clinical review: Optimizing enteral nutrition for critically ill patients--a simple data-driven formula. Crit Care. 2011;15(6):234. DOI: 10.1186/cc10430 PMID: 22136305 [DOI] [PubMed]

13. Dietitians Association. Enteral nutrition manual for adults in health care facilities. Nutrition upport Interest Group 2014 [updated 2015; cited 2014]. Available from: http://daa.asn.au/wp-content/uploads/2011/11/Enteralnutrition-manual-Oct-2011.pdf.

14. Doig GS, Chevrou-Severac H, Simpson F. Early enteral nutrition in critical illness: a full economic analysis using US costs. Clinicoecon Outcomes Res. 2013;5:429-36. DOI: 10.2147/CEOR.S50722 PMID: 24003308 [DOI] [PubMed]

15. Hasani V, Seifi S. [Comparison of the effects of intermittent and continuous intestinal nutrition on ventilator associated pneumonia patients in intensive care unit]. J Anesth Pain. 2011;2(6):19-24.

16. Kadamani I, Itani M, Zahran E, Taha N. Incidence of aspiration and gastrointestinal complications in critically ill patients using continuous versus bolus infusion of enteral nutrition: a pseudo-randomised controlled trial. Aust Crit Care. 2014;27(4):188-93. DOI: 10.1016/j.aucc.2013.12.001 PMID: 24508516 [DOI] [PubMed]

17. Bowling TE, Cliff B, Wright JW, Blackshaw PE, Perkins AC, Lobo DN. The effects of bolus and continuous nasogastric feeding on gastro-oesophageal reflux and gastric emptying in healthy volunteers: a randomised three-way crossover pilot study. Clin Nutr. 2008;27(4):608-13. DOI: 10.1016/j.clnu.2008.04.003 PMID: 18513835 [DOI] [PubMed]

18. Hassanzade H. [Comparison of two methods of pulmonary aspiration tube feeding (intermittent bolus and intermittent drops) in patients with diseases of the brain and nervous IC-U unit of selected hospitals in Tehran in 2002]. Iran J Nurs. 2002;32(15):88-92.

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Ahangari M, Farsi Z, Dadgari F. Comparison of Intermittent and Bolus Feeding on Pulmonary Aspiration in Patients With Sepsis, Hospitalized at Intensive Care Units: A Triple Blind Randomized Controlled Trial. MCS 2016; 3 (3) :156-164
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