Littler Hayley, Tume Lyvonne N
Paediatric Intensive Care Unit, Alder Hey Children's Hospital, Liverpool, UK.
School of Health & Society, University of Salford, Manchester, UK.
Nurs Crit Care. 2023 Jan;28(1):36-39. doi: 10.1111/nicc.12788. Epub 2022 May 31.
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.
营养不足会导致儿科重症监护病房（PICU）中接受机械通气的儿童发病率和死亡率增加。肠内喂养既可以通过重力推注（间歇性）喂养，也可以通过泵持续喂养，而在英国的PICU中，存在不同的做法。因此，这项基于证据的综述旨在研究关于通气儿童两种喂养方法的证据，以确定哪种方法能提供更好的肠内营养。纳入了四篇论文，三篇随机对照试验和一篇系统综述，这些研究提供了相互矛盾的证据。有迹象表明，在PICU的内科患儿中，推注喂养可能更具优势，能更快实现能量和蛋白质目标，然而，结果的临床意义值得怀疑，需要进一步研究来确定一种喂养方法是否会影响患者的预后。
