Comparison of Intermittent and Bolus Enteral Feeding Methods on Enteral Feeding Intolerance of Patients with Sepsis: A Triple-blind Controlled Trial in Intensive Care Units
BACKGROUND Recent trials have shown controversial results on which enteral feeding methods has a lower risk of enteral feeding intolerance. Therefore, we aimed to compare two methods of bolus and intermittent feeding on enteral feeding intolerance of patients with sepsis. METHODS This triple-bl...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Iranian Association of Gastroenterology and Hepatology, Shiraz University of Medical Sciences
2017-10-01
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| Series: | Middle East Journal of Digestive Diseases |
| Subjects: | |
| Online Access: | http://www.mejdd.org/index.php/mejdd/article/view/1804 |
| _version_ | 1819109554443517952 |
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| author | Morteza Nasiri Zahra Farsi Mojtaba Ahangari Fahimeh Dadgari |
| author_facet | Morteza Nasiri Zahra Farsi Mojtaba Ahangari Fahimeh Dadgari |
| author_sort | Morteza Nasiri |
| collection | DOAJ |
| description | BACKGROUND
Recent trials have shown controversial results on which enteral feeding methods has a lower risk of enteral feeding intolerance. Therefore, we aimed to compare two methods of bolus and intermittent feeding on enteral feeding intolerance of patients with sepsis.
METHODS
This triple-blind randomized controlled trial was conducted on 60 patients with sepsis, who were fed through tubes for at least 3 days. The patients were randomly assigned into bolus feeding, intermittent feeding, and control groups. Enteral feeding intolerance of all patients was recorded in 3 consecutive days by a researcher-made checklist including the data on gastric residual volume, vomiting, diarrhea, constipation, and abdominal distension.
RESULTS
There were no significant differences between the three studied groups in none of the intervention days pertaining to constipation, diarrhea, vomiting, abdominal distention, and gastric residual volume (p > 0.05). Also, no statistically significant difference was found between all variables in the three studied groups during the 3 days (p > 0.05).
CONCLUSION
As enteral feeding intolerance of patients with sepsis was similar in both bolus and intermittent feeding methods, it can be concluded that bolus method can still be used as a standard method to decrease the risk of enteral feeding intolerance if it is used properly. |
| first_indexed | 2024-12-22T03:27:40Z |
| format | Article |
| id | doaj.art-18c4f2ec3a74426c9b0d913a846536cd |
| institution | Directory Open Access Journal |
| issn | 2008-5230 2008-5249 |
| language | English |
| last_indexed | 2024-12-22T03:27:40Z |
| publishDate | 2017-10-01 |
| publisher | Iranian Association of Gastroenterology and Hepatology, Shiraz University of Medical Sciences |
| record_format | Article |
| series | Middle East Journal of Digestive Diseases |
| spelling | doaj.art-18c4f2ec3a74426c9b0d913a846536cd2022-12-21T18:40:34ZengIranian Association of Gastroenterology and Hepatology, Shiraz University of Medical SciencesMiddle East Journal of Digestive Diseases2008-52302008-52492017-10-019421822710.15171/mejdd.2017.77Comparison of Intermittent and Bolus Enteral Feeding Methods on Enteral Feeding Intolerance of Patients with Sepsis: A Triple-blind Controlled Trial in Intensive Care UnitsMorteza Nasiri0Zahra Farsi1Mojtaba Ahangari2Fahimeh Dadgari3Gastroenterology and Hepatology Disease Research Center, Qom University of Medical Sciences, Qom, IranAssociate Professor, Department of Medical-Surgical, Faculty of Nursing, AJA University of Medical Sciences, Tehran, IranDepartment of Critical Care, Faculty of Nursing, AJA University of Medical Sciences, Tehran, IranDepartment of Psychiatric, Faculty of Nursing, AJA University of Medical Sciences, Tehran, IranBACKGROUND Recent trials have shown controversial results on which enteral feeding methods has a lower risk of enteral feeding intolerance. Therefore, we aimed to compare two methods of bolus and intermittent feeding on enteral feeding intolerance of patients with sepsis. METHODS This triple-blind randomized controlled trial was conducted on 60 patients with sepsis, who were fed through tubes for at least 3 days. The patients were randomly assigned into bolus feeding, intermittent feeding, and control groups. Enteral feeding intolerance of all patients was recorded in 3 consecutive days by a researcher-made checklist including the data on gastric residual volume, vomiting, diarrhea, constipation, and abdominal distension. RESULTS There were no significant differences between the three studied groups in none of the intervention days pertaining to constipation, diarrhea, vomiting, abdominal distention, and gastric residual volume (p > 0.05). Also, no statistically significant difference was found between all variables in the three studied groups during the 3 days (p > 0.05). CONCLUSION As enteral feeding intolerance of patients with sepsis was similar in both bolus and intermittent feeding methods, it can be concluded that bolus method can still be used as a standard method to decrease the risk of enteral feeding intolerance if it is used properly.http://www.mejdd.org/index.php/mejdd/article/view/1804Feeding methodsEnteral feedingFeeding intoleranceSepsisIntensive care unit |
| spellingShingle | Morteza Nasiri Zahra Farsi Mojtaba Ahangari Fahimeh Dadgari Comparison of Intermittent and Bolus Enteral Feeding Methods on Enteral Feeding Intolerance of Patients with Sepsis: A Triple-blind Controlled Trial in Intensive Care Units Middle East Journal of Digestive Diseases Feeding methods Enteral feeding Feeding intolerance Sepsis Intensive care unit |
| title | Comparison of Intermittent and Bolus Enteral Feeding Methods on Enteral Feeding Intolerance of Patients with Sepsis: A Triple-blind Controlled Trial in Intensive Care Units |
| title_full | Comparison of Intermittent and Bolus Enteral Feeding Methods on Enteral Feeding Intolerance of Patients with Sepsis: A Triple-blind Controlled Trial in Intensive Care Units |
| title_fullStr | Comparison of Intermittent and Bolus Enteral Feeding Methods on Enteral Feeding Intolerance of Patients with Sepsis: A Triple-blind Controlled Trial in Intensive Care Units |
| title_full_unstemmed | Comparison of Intermittent and Bolus Enteral Feeding Methods on Enteral Feeding Intolerance of Patients with Sepsis: A Triple-blind Controlled Trial in Intensive Care Units |
| title_short | Comparison of Intermittent and Bolus Enteral Feeding Methods on Enteral Feeding Intolerance of Patients with Sepsis: A Triple-blind Controlled Trial in Intensive Care Units |
| title_sort | comparison of intermittent and bolus enteral feeding methods on enteral feeding intolerance of patients with sepsis a triple blind controlled trial in intensive care units |
| topic | Feeding methods Enteral feeding Feeding intolerance Sepsis Intensive care unit |
| url | http://www.mejdd.org/index.php/mejdd/article/view/1804 |
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