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EP.009
Improving the delivery of daily calorific targets via the enteral route in a critically ill patient population: a quality improvement cycle in a mixed surgical and medical intensive care unit in the United Kingdom.

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Improving the delivery of daily calorific targets via the enteral route in a critically ill patient population: a quality improvement cycle in a mixed surgical and medical intensive care unit in the United Kingdom

B. Johnston, T. Ahmed, Z. Al-Mosasseb, M. Habgood, D. Doherty, J. Gandhi, S. Clarke, A. Krige. Royal Blackburn Teaching Hospital 

 

Enteral nutrition and adequate calorie intake has been associated with reduced infections and improved survival in critically ill patients.1 Despite this evidence, data suggests patients do not achieve their daily calorific requirement. This ‘iatrogenic underfeeding’ is thought to be widespread with the CALORIES study revealing that only 10%-30% of prescribed daily kCal was delivered to patients.2 Utilising quality improvement methodology, we aimed to deliver greater than 85% of prescribed kCal/day by transitioning from an hourly based enteral feeding protocol to a 24-hour volume based feeding protocol, starting feeding at a higher rate and increasing the permissible gastric residual volume from 250ml to 300ml.3

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