Hill S A, Nielsen M S, Lennard-Jones J E
Department of Anaesthesia, Southampton General Hospital, UK.
Eur J Clin Nutr. 1995 May;49(5):371-8.
To assess current practice in nutritional support in intensive care units (ICUs) in England and Wales.
A three-section questionnaire about feeding practice was sent to all adult ICUs in England and Wales; this requested information on nutritional support provided for all patients during a single designated 24-h study period.
66% of the questionnaires were completed and returned. 43% of patients received nutritional support. Of these, 46% received only parenteral nutrition, 34% only enteral nutrition, 4% received sip feeds and the remaining 16% received more than one form of feeding. 81% of patients fed by the nasogastric route had a large-bore tube in place. More than 40% of patients were fed parenterally via the central route, of these 54% had a dedicated feeding line.
Despite the complications of central venous feeding and the advantages of and developments in enteral feeding these findings suggest there could be further improvement in our provision of nutrition for the critically ill patient.
评估英格兰和威尔士重症监护病房（ICU）目前的营养支持做法。
向英格兰和威尔士所有成人ICU发送了一份关于喂养做法的三部分问卷；该问卷要求提供在一个指定的24小时研究期间为所有患者提供的营养支持信息。
66%的问卷被填写并返回。43%的患者接受了营养支持。其中，46%仅接受肠外营养，34%仅接受肠内营养，4%接受小口进食，其余16%接受不止一种喂养方式。81%通过鼻胃途径喂养的患者使用的是大口径导管。超过40%的患者通过中心途径接受肠外喂养，其中54%有专用的喂养管道。
尽管中心静脉喂养存在并发症，且肠内喂养有优势并不断发展，但这些结果表明，我们为重症患者提供营养方面仍有进一步改进的空间。
