Fasting practices of enteral nutrition delivery for airway procedures in critically ill adult patients: A scoping review.
Airway procedures
Enteral nutrition
Extubation
Fasting
Feeding interruptions
Tracheostomy
Journal
Journal of critical care
ISSN: 1557-8615
Titre abrégé: J Crit Care
Pays: United States
ID NLM: 8610642
Informations de publication
Date de publication:
12 2022
12 2022
Historique:
received:
31
05
2022
revised:
09
08
2022
accepted:
25
08
2022
pubmed:
18
9
2022
medline:
30
11
2022
entrez:
17
9
2022
Statut:
ppublish
Résumé
There is limited understanding of fasting practices and reported safety concerns for airway procedures in critically ill adults. To describe fasting practices including safety concerns for airway procedures in critically ill adult patients in the reported literature. Studies conducted in adult critically ill patients receiving enteral nutrition (EN) and undergoing an airway procedure (endotracheal intubation, endotracheal extubation, and tracheostomy) were included if EN fasting practices and/or prespecified nutrition and clinical outcomes were reported. A scoping review using the Joanna Briggs Institute methodology was conducted. MEDLINE, Embase, and CINAHL were searched from 2000 to January 19, 2022. Results are presented via narrative synthesis. Fourteen studies were included, with only one randomised control trial (RCT). Twelve studies reported on fasting practices with varied EN fasting durations (0-34 h) and two reported data on nutrition adequacy. Three studies investigated continued EN in one study arm and four studies minimised fasting duration by including gastric suctioning prior to the airway procedure. Safety concerns primarily related to aspiration events (61%) were reported in nine studies. In the reported literature, there is wide variation in EN fasting practices for airway procedures in critically ill patients with limited evidence to inform practice.
Sections du résumé
BACKGROUND
There is limited understanding of fasting practices and reported safety concerns for airway procedures in critically ill adults.
OBJECTIVE
To describe fasting practices including safety concerns for airway procedures in critically ill adult patients in the reported literature.
INCLUSION CRITERIA
Studies conducted in adult critically ill patients receiving enteral nutrition (EN) and undergoing an airway procedure (endotracheal intubation, endotracheal extubation, and tracheostomy) were included if EN fasting practices and/or prespecified nutrition and clinical outcomes were reported.
METHODS
A scoping review using the Joanna Briggs Institute methodology was conducted. MEDLINE, Embase, and CINAHL were searched from 2000 to January 19, 2022. Results are presented via narrative synthesis.
RESULTS
Fourteen studies were included, with only one randomised control trial (RCT). Twelve studies reported on fasting practices with varied EN fasting durations (0-34 h) and two reported data on nutrition adequacy. Three studies investigated continued EN in one study arm and four studies minimised fasting duration by including gastric suctioning prior to the airway procedure. Safety concerns primarily related to aspiration events (61%) were reported in nine studies.
CONCLUSION
In the reported literature, there is wide variation in EN fasting practices for airway procedures in critically ill patients with limited evidence to inform practice.
Identifiants
pubmed: 36115335
pii: S0883-9441(22)00173-3
doi: 10.1016/j.jcrc.2022.154144
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
154144Informations de copyright
Crown Copyright © 2022. Published by Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of Competing Interest The authors have no conflicts of interest to declare in relation to the completion of this study.