Premium
Barriers and Solutions to Delivery of Intensive Care Unit Nutrition Therapy
Author(s) -
Kozeniecki Michelle,
Pitts Heather,
Patel Jayshil J.
Publication year - 2018
Publication title -
nutrition in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.725
H-Index - 71
eISSN - 1941-2452
pISSN - 0884-5336
DOI - 10.1002/ncp.10051
Subject(s) - medicine , parenteral nutrition , critically ill , intensive care medicine , narrative review , intensive care unit , enteral administration , medical nutrition therapy
Despite recommendations for early enteral nutrition (EN) in critically ill patients, numerous factors contribute to incomplete delivery of EN, including insufficient nutrition risk screening in critically ill patients, underutilization of enteral feeding protocols, fixed rate‐based enteral infusion targets with frequent EN interruption, and suboptimal provider practices regarding nutrition support therapy. The purpose of this narrative review is to identify common barriers to optimizing and delivering nutrition in critically ill patients, and suggest strategies and solutions to overcome barriers.