Open AccessContinuous versus bolus tube feeds: Does the modality affect glycemic variability, tube feeding volume, caloric intake, or insulin utilization?
Author(s) -
David C. Evans,
Rachel C. Forbes,
Christian Jones,
Robert Cotterman,
C. J. Njoku,
Cattleya Thongrong,
David B. Tulman,
Sergio D. Bergese,
Scott L. Thomas,
Thomas J. Papadimos,
Stanislaw P Stawicki
Publication year - 2016
Publication title -
international journal of critical illness and injury science
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.274
H-Index - 12
eISSN - 2231-5004
pISSN - 2229-5151
DOI - 10.4103/2229-5151.177357
Subject(s) - medicine , glycemic , percutaneous endoscopic gastrostomy , parenteral nutrition , bolus (digestion) , calorie , insulin , randomized controlled trial , caloric theory , peg ratio , finance , economics
Enteral nutrition (EN) is very important to optimizing outcomes in critical illness. Debate exists regarding the best strategy for enteral tube feeding (TF), with concerns that bolus TF (BTF) may increase glycemic variability (GV) but result in fewer nutritional interruptions than continuous TF (CTF). This study examines if there is a difference in GV, insulin usage, TF volume, and caloric delivery among intensive care patients receiving BTF versus CTF. We hypothesize that there are no significant differences between CTF and BTF when comparing the above parameters.