Review : Enteral feeding: a change in practice

Abstract

■ There is an unacceptably high incidence of malnutrition in PICU. ■ The delivery of nutritional support requires a structured approach. ■ Early enteral feeding has been shown to reduce the stress response. ■ Implementing a change in practice involves identification of resources, objectives and motivation for change. ■ A randomised retrospective audit of the change in practice did demonstrate the value of earlier commencement of enteral feeding. ■ Informal interviews with practitioners suggested improved practice and knowledge.