Continuous or intermittent feeding: pros and cons

  title={Continuous or intermittent feeding: pros and cons},
  author={Danielle E. Bear and Nicholas Hart and Zudin A. Puthucheary},
  journal={Current Opinion in Critical Care},
Purpose of review There has been a recent shift in the focus of providing nutrition support to critically ill adults towards enhancing recovery and promoting survivorship. With this has come an evaluation of our current approaches to nutrition support, which includes whether continuous feeding is optimal, particularly for reducing muscle wasting, but also for managing blood glucose levels and feeding intolerance and at the organizational level. This review will discuss the pros and cons of… 

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Exploring the Potential Effectiveness of Combining Optimal Nutrition With Electrical Stimulation to Maintain Muscle Health in Critical Illness: A Narrative Review

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  • 2018
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The role of nutritional support in the physical and functional recovery of critically ill patients: a narrative review

With survivorship at the forefront of critical care research, it is imperative that nutrition studies carefully consider biological mechanisms and trial design because these factors can strongly influence outcomes, in particular long-term physical and functional outcome.

Bolus vs. continuous feeding to optimize anabolism in neonates

This review reports on recent findings that bolus is advantageous compared to continuous feeding in supporting optimal protein anabolism and enhances protein synthesis more than continuous feeding and promotes greater protein anabolic activity.

Prospective Randomized Control Trial of Intermittent Versus Continuous Gastric Feeds for Critically Ill Trauma Patients

This study compared an intermittent feeding regimen (one-sixth of daily needs infused every 4 hours) with a continuous (drip) feeding regimen for critically ill trauma patients with a noninjured gastrointestinal tract.

Effects of continuous versus bolus infusion of enteral nutrition in critical patients.

The two groups were similar in this regard, without statistical differences, probably because of meticulous technique, careful monitoring, strict patient matching, and conservative amounts of diet employed in both situations.

Comparison of continuous vs intermittent nasogastric enteral feeding in trauma patients: perceptions and practice.

Data from this study suggest that CENS through a nasoenteric feeding tube may facilitate nutrient intake with less gastrointestinal complications in severely injured trauma patients compared with IENS.

Optimising enteral nutrition in critically ill patients by reducing fasting times

It is concluded that the introduction of a simple guideline stipulating reduced fasting times before ICU procedures can result in less time lost in feed interruptions and improved enteral nutrition delivery.

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

Bolus method can still be used as a standard method to decrease the risk of enteral feeding intolerance if it is used properly, and no statistically significant difference was found between all variables in the three studied groups during the 3 days.

Intermittent enteral feeding: the influence on respiratory and digestive tract colonization in mechanically ventilated intensive-care-unit patients.

Almost all patients receiving enteral feeding are colonized in the stomach with gram-negative bacteria, and IEF resulted in a slight decrease in intragastric pH without influencing rates of colonization and infection of the respiratory tract.

Trial of the route of early nutritional support in critically ill adults.

A pragmatic, randomized trial involving adults with an unplanned admission to one of 33 English intensive care units found no significant difference in 30-day mortality associated with the route of delivery of early nutritional support in critically ill adults.

The Effect of Continuous Enteral Nutrition on Nutrition Indices, Compared to the Intermittent and Combination Enteral Nutrition in Traumatic Brain Injury Patients.

The continuous method, having a positive effect on nitrogen balance, reducing hypercatabolism and maintaining the total body protein, was preferred to brain injury patients compared with intermittent enteral and parenteral methods that demand more studies.