A scoping review of enteral feeding protocol in critically ill children

VernacularTitle:肠内喂养方案在危重患儿人群应用的文献范畴分析
Author: Simin ZHENG ; Ying GU ; Huiwen ZHANG ; Miao HUANG
Keywords: Enteral feeding protocol; Critical ill children; Scoping review
From: Chinese Journal of Practical Nursing 2017;33(6):471-476
CountryChina
Language:Chinese
Abstract: Objective To conduct a scoping review to systematically review the literature reporting enteral feeding protocol in critical ill children. And extract elements of enteral feeding protocol. Methods The database of BIOSIS Previews, PubMed, MEDLINE, EMbase, China Biology Medicine Disc, China National Knowledge Infrastructure and Wan Fang data were searched. Data were extracted on the information of article, elements of enteral feeding, evaluation of feeding etc. Results Three historical controlled studies, three case-control studies, two cohort studies, one narrative review and one qualitative study were included. Totally 16 elements were got, such as nutrition evaluation, estimated energy requirement, contraindication, feeding intolerance etc. And all protocols defined advancement and feeding intolerance. Conclusions Enteral feeding protocol has been used in most PICUs to optimize nutrition. But we observed variability in the composition of protocols and lack of evidence-based recommendations in few elements.