Is bolus or continuous enteral feeding better in critically ill children: an evidence-based review

Littler, H ORCID: https://orcid.org/0000-0002-2547-8209 and Tume, LN ORCID: https://orcid.org/0000-0002-2547-8209 2022, 'Is bolus or continuous enteral feeding better in critically ill children: an evidence-based review' , Nursing In Critical Care . (In Press)

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Abstract

Inadequate nutrition can lead to increased morbidity and mortality for mechanically ventilated children in the paediatric intensive care unit (PICU). Enteral feeding can either be delivered by gravity bolus (intermittent) feeding or continuously via a pump and in UK PICUs variable practice exists. This evidence-based review therefore aimed to examine the evidence surrounding the two feeding methods for ventilated children, to determine whether one provides better enteral nutrition. Four papers were included, three randomized controlled trials and a systematic review, which provide conflicting evidence. There is some suggestion that bolus feeding may be superior in medical children on PICU to achieve their energy and protein goals faster, however, the clinical significance of the results is questionable and further research is needed to identify whether one method of feeding can impact on patient outcomes.

Item Type:	Article
Additional Information:	This is the pre-peer reviewed version of the following article: Is bolus or continuous enteral feeding better in critically ill children: An evidence-based review, which has been published in final form at https://doi.org/10.1111/nicc.12788. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.
Schools:	Schools > School of Health and Society > Centre for Health Sciences Research
Journal or Publication Title:	Nursing In Critical Care
Publisher:	Wiley Blackwell
Depositing User:	Dr Lyvonne Tume
Date Deposited:	21 Jun 2022 15:52
Last Modified:	17 Aug 2022 09:30
URI:	https://usir.salford.ac.uk/id/eprint/64037

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