Wilson S, Madisi NY, Bassily-Marcus A, Manasia A, Oropello J, Kohli-Seth R. Enteral nutrition administration in a surgical intensive care unit: Achieving goals with better strategies. World J Crit Care Med 2016; 5(3): 180-186 [PMID: 27652209 DOI: 10.5492/wjccm.v5.i3.180]
Corresponding Author of This Article
Nagendra Y Madisi, MD, Critical Care Fellow, Division of Surgical Critical Care Medicine, Department of Surgery, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1264, New York, NY 10029, United States. nagendra.madisi@mountsinai.org
Research Domain of This Article
Critical Care Medicine
Article-Type of This Article
Retrospective Study
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Wilson S, Madisi NY, Bassily-Marcus A, Manasia A, Oropello J, Kohli-Seth R. Enteral nutrition administration in a surgical intensive care unit: Achieving goals with better strategies. World J Crit Care Med 2016; 5(3): 180-186 [PMID: 27652209 DOI: 10.5492/wjccm.v5.i3.180]
World J Crit Care Med. Aug 4, 2016; 5(3): 180-186 Published online Aug 4, 2016. doi: 10.5492/wjccm.v5.i3.180
Enteral nutrition administration in a surgical intensive care unit: Achieving goals with better strategies
Sara Wilson, Nagendra Y Madisi, Adel Bassily-Marcus, Anthony Manasia, John Oropello, Roopa Kohli-Seth
Sara Wilson, Department of Clinical Nutrition, Mount Sinai Hospital, New York, NY 10129, United States
Nagendra Y Madisi, Adel Bassily-Marcus, Anthony Manasia, John Oropello, Roopa Kohli-Seth, Division of Surgical Critical Care Medicine, Department of Surgery, Icahn School of Medicine at Mount Sinai, New York, NY 10129, United States
Author contributions: Wilson S, Madisi NY and Kohli-Seth R contributed equally to this work; Wilson S helped in the acquisition of the data; Wilson S, Madisi NY and Kohli-Seth R analyzed, interpreted the data and drafted the manuscript; Bassily-Marcus A, Manasia A and Oropello J provided analytical oversight, revised the manuscript and material support; Kohli-Seth R contributed to the conception and design of the study, supervised the study and provided administrative support; all authors have read and approved the final version to be published.
Institutional review board statement: The study was reviewed and approved by Icahn School of Medicine at Mt Sinai Institutional Review Board.
Informed consent statement: Waiver of informed consent was provided by Icahn School of Medicine at Mt Sinai Institutional Review Board.
Conflict-of-interest statement: All the authors involved in the study have no conflict of interest to declare.
Data sharing statement: Data is available from the corresponding author - nagendra.madisi@mountsinai.org.
Correspondence to: Nagendra Y Madisi, MD, Critical Care Fellow, Division of Surgical Critical Care Medicine, Department of Surgery, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1264, New York, NY 10029, United States. nagendra.madisi@mountsinai.org
Telephone: +1-443-2207373
Received: February 24, 2016 Peer-review started: February 27, 2016 First decision: April 15, 2016 Revised: May 2, 2016 Accepted: June 1, 2016 Article in press: June 3, 2016 Published online: August 4, 2016 Processing time: 160 Days and 10.1 Hours
Core Tip
Core tip: Surgical critical care patients are more prone to frequent feeding interruptions for unavoidable reasons. In this study we validated that implementation of a feeding protocol in a surgical intensive care unit (SICU) decreased time to achieve goal rate and increased the total volume administered daily, despite frequent interruptions. It also increased detailed documentation by unit staff of interruptions allowing us to identify a trend with regard to feeding interruptions to better understand which practices/procedures require further review. The median time to achieve the goal rate was significantly shorter in the post-intervention phase. The time to achieve the total recommended daily volume showed a non-significant decline in the post-intervention phase and the overall volume administered daily was higher in the post-intervention phase. While the overall interruptions data did not reach statistical significance, undocumented interruptions (interruptions for unknown reasons) were lower in the post-intervention phase. To our knowledge, we are the second largest single center study supporting the benefit of implementing a feeding protocol in a SICU.
