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Continuous
ASPEN (continuous
Reduced gastric feeding
guidelines
morbidity and [C-GF]) or Bolus
suggest Gastric (bolus gastric
mortality
feeding feeding [B-GF])
methods.
Cont…
Gut disfunction
Oxygenation
saturation • Aspiration and acute lung injury assessment per 3 hours
index (OSI)
Data Management and Analysis
• A FileMaker Pro 11 Advanced
Study data entering (FileMaker Inc, Filemaker )
database.
Mehta et al Mikhailov et al
Decreased reduced a lower
Martinez et al
mortality, mortality when mortality rate
critically ill
utilizing the EN delivery was when delivery of
children have
methods to most increased from 25% of target EN
delayed gastric
rapidly deliver the first to occurred within
emptying
goal feeds second tertile the first 48
(33.3% to 66.6%) hours.
Cont…
Only the B-GF group achieved the second tertile for target energy
delivery in half the time (median)
Further study to elucidate the impact of B-GF vs C-GF is important,
as increased nursing resources are required for B-GF
Current clinical guidelines best protocols and implementation
practices for the delivery of early EN for its critical protective effect
to the PICU patient, including reduction in mortality
OSI
• validated scoring
• need for further invasive monitoring(placement of an arterial catheter)
A single center
illness is lower in children morbidities
compared with adults Several practice changes
Plan to expand our study by may be warranted, pending
linking with national confirmation of study
networks to build an findings to improve the
adequate sample to be able delivery of critical nutrition
to generalize result intake to the mechanically
ventilated child