Graded enteral nutrition management based on intra-abdominal pressure for ICU patients:a summary of best evidence
10.3969/j.issn.1671-8283.2025.01.011
- VernacularTitle:ICU患者基于腹内压分级肠内营养管理的最佳证据总结
- Author:
Meimei WANG
1
;
Yin'e WANG
;
Anhua QIAO
;
Wenfang LI
;
Zhenjie WANG
Author Information
1. 蚌埠医科大学第一附属医院急诊外科,急危重症研究所,安徽 蚌埠,233000
- Publication Type:Journal Article
- Keywords:
intensive care unit;
abdominal hypertension;
intra-abdominal pressure grading;
enteral nutrition;
evidence summary
- From:
Modern Clinical Nursing
2025;24(1):68-76
- CountryChina
- Language:Chinese
-
Abstract:
Objective To search,evaluate and integrate the evidence on enteral nutrition management based on intra-abdominal pressure(IAP)in ICU patients so as to provide an evidence-based basis for a standardised clinical enteral nutrition management for ICU patients with abdominal hypertension.Methods According to the"6S"model,the systematic searches were conducted on CNKI,VIP,SinoMed,Wanfang,Cochrane Library,Medive,UpToDate,International Guidelines Collaboration,Scottish Intercollegiate Guidelines,PubMed,Ovid,Web of Science,Embase,NICE,American Society for Parenteral Enteral Nutrition,World Association for Parenteral Syndromes,European Society of Critical Care,European Society of Clinical Nutrition and Metabolism on the grading of enteral nutrition based on intra-abdominal pressure classification,including guidelines,clinical decision-making,expert consensus,systematic evaluations,summaries of evidence,and original studies closely related to the topic of this study,with a search timeframe up to 31st October 2023.Evidence was extracted and synthesised from the literature that met the quality criteria,taking into account clinical professional judgement.Results A total of 23 articles were retrieved,including four guidelines,one evidence summary,one systematic evaluation,four expert consensuses,six randomized controlled trials,one case-control study and six quasi-experimental studies.Through strict quality evaluation,evidence extraction and summarisation,seven themes with 28 pieces of best evidence were extracted,with IAP grading as the main topic.The themes included definition and grading of abdominal hypertension,IAP monitoring,assessment of target feeding volume,IAP grades I-IV.Conclusion This study summarises the best evidence on graded enteral nutrition management for ICU patients based on IAP.This evidence provides an effective scientific basis on clinical decision-making for ICU professionals.It aims to manage the enteral nutrition for ICU patients with intra-abdominal hypertension using a scientific nursing method,thereby improving the quality of nursing care.
