Volume Based Feeding Selhee Choi Dietetic intern at

Volume Based Feeding Selhee Choi Dietetic intern at CUNY School of Public Health

What is Volume Based Feeding? Based on a 24 hour volume total rather than an hourly rate. • initial infusion rate is determined by dividing the total volume by 24 hours. For example, instead of a prescribed rate per hour (60 m. L/hr) x 24 hours of Jevity, a patient would have a prescribed volume per day (1440 m. L/24 hours) GOAL: improve nutrition in ICU patients.

Benefits of Volume Based Feeding Rate based feeding could easily interrupted by surgery, test and procedure. Volume based feeds are able to adjust the rate to make up for the deficit incurred to deliver the entire volume in the time remaining. VOLUME BASED FEEDING WILL PROVIDE ADEQUATE CALOIRES AND PROTEIN TO PATIENT.

fjkjkkjdkjkkjk

Benefits of Volume Based Feeding Adequate Nutrition Provides fuel for cellular metabolism Prevent protein/muscle wasting Decreases ventilator time Helps prevent infection/VAP Decrease ICU length of stay Promote healthy wound healing Reduces mortality

Benefits of Volume Based Feeding for Hospital ICU length of hospital stay health care cost mortality - Positive clinical outcome patient satisfaction.

FHMC PI Project

Summaries of Volume Based Feeding Critically ill patients placed on enteral nutrition are usually underfed. Rate based feeding easily interrupted and can provide less volume and calories. Volume based feeding could reduce underfeeding and provide adequate nutrients to ICU patients. Volume based feeding could provide great benefits to hospital.

Challenges Encountered ………. Incorrect data reporting Difficult to find reason why TF was hold Improper Hard documentation to trace transferred pt (if they received same TF)

References 1. Heyland, D. K. , Dhaliwal, R. , Lemieux, M. , Wang, M„ & Day, A. G. (2014). Implementing the PEPu. P protocol in critical care units in Canada: Results of a multicenter, quality improvement study. Journal of Parenteral and Enteral Nutrition, 39(6), 698 -706. doi: 10. 1177/0148607114531787 2. Heyland, D. K. , Murch, L. , Cahill, N. , Mccall, M„ Muscedere, J. , Stelfox, H. T. , . . . Day, A. G. (2013). Enhanced protein-energy provision via the enteral route feeding protocol in critically ill patients. Critical Care Medicine, 41(12), 2743 -2753. doi: 10. 1097/ ccm. Ob. O 13 e 31829 efef 5 3. Heyland DK. Critical care nutrition support research: lessons learned from recent trials. Curr Opin Clin Nutr Metab Care. 2013; 16(2): 176 -181. 4. Mcclave, S. A. , Saad, M. A. , Esterle, M. , Anderson, M. , Jotautas, A. E. , Franklin, G. A. , . . . Hurt, R. T. (2014). Volume-based feeding in the critically ill patient. Journal of Parenteral and Enteral Nutrition, 39(6), 707 -712. doi: 10. 1177/0148607114540004