Nutrition therapy in adult patients receiving extracorporeal membrane oxygenation: a prospective, multicentre, observational study

Ridley, Emma J., Davies, Andrew R., Robins, Elissa J., Lukas, George, Bailey, Michael J. and Fraser, John F. (2015) Nutrition therapy in adult patients receiving extracorporeal membrane oxygenation: a prospective, multicentre, observational study. Critical Care and Resuscitation, 17 3: 183-189.

Author Ridley, Emma J.
Davies, Andrew R.
Robins, Elissa J.
Lukas, George
Bailey, Michael J.
Fraser, John F.
Title Nutrition therapy in adult patients receiving extracorporeal membrane oxygenation: a prospective, multicentre, observational study
Journal name Critical Care and Resuscitation   Check publisher's open access policy
ISSN 1441-2772
Publication date 2015-09
Sub-type Article (original research)
Open Access Status Not Open Access
Volume 17
Issue 3
Start page 183
End page 189
Total pages 7
Place of publication Strawberry Hills, NSW, Australia
Publisher Australasian Medical Publishing Company
Collection year 2016
Language eng
Formatted abstract
Objectives: To describe current nutrition delivery practices and to identify barriers to nutrition in patients receiving venovenous or venoarterial extracorporeal membrane oxygenation (ECMO) in multiple centres in Australia and New Zealand.

Design, setting and participants: A prospective, multicentre, observational study, set in eight intensive care units in Australia and New Zealand, of adults treated with ECMO who were expected to receive enteral nutrition (EN) or parenteral nutrition (PN) therapy for > 72 hours. Data were collected from the start of ECMO until 7 days after ECMO cessation.

Results: There were 107 patients enrolled, with a median age of 42 years (interquartile range [IQR], 31-56 years), and 54 patients (50%) were men. EN was the most commonly delivered mode of nutrition (on 84% of days) although it was interrupted on 53% of days. The median interruption duration was 8 hours (IQR, 4-5 hours] per episode. The two most common barriers to EN delivery were fasting for a therapeutic or diagnostic procedure and high gastric residual volumes. Median daily calorie and protein deliveries from EN and/or PN were 1680 kcal (IQR, 960-2100 kcal) and 72 g (IQR, 42-98 g) of protein. For patients who received EN and/or PN, median calorie and protein deficits during the study period were - 7118 kcal (IQR, - 11 614 to - 4510 kcal) and - 325 g (IQR, - 525 to - 188 g) of protein.

Conclusions: EN was the most commonly used nutritiondelivery mode during ECMO treatment but was frequently interrupted. Compared with estimated calorie and protein requirements, lesser but reasonably acceptable amounts were delivered, although calorie and protein deficits still existed.
Keyword Critically ill patients
Intensive care unit
Parenteral nutrition
Enteral nutrition
Clinical trial
New Zealand
Support
Influenza
Impact
Ecmo
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Medicine Publications
 
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