Volume 21, Number 2 (10-2011)                   J Holist Nurs Midwifery 2011, 21(2): 40-46 | Back to browse issues page


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Mosazadeh S, Khaleghdoost Mohammadi T, Hasavari F, Kazem Nejad Leili E. Study the chance of respiratory aspiration in intermittent bolus tube feeding in ‎ICU and Trauma ward patients. J Holist Nurs Midwifery. 2011; 21 (2) :40-46
URL: http://hnmj.gums.ac.ir/article-1-186-en.html

, khaleghdoost @ gums.ac.ir
Abstract:   (2533 Views)

Introduction: Bowel feeding is an effective and safe method for patients who are admitted to ‎intensive care wards but despite its many benefits has side effects such as respiratory ‎aspiration. Pneumonia caused by aspiration is responsible for ‎‏15-20%‏‎ of hospital infections, ‎‏24%‏‎ increase in length of hospitalization, and ‎‏39%‏‎ increase of expenses. It is one of the ten ‎reasons of death in USA that can be prevented by appropriate method of feeding.

‎ Objective: This study aims to determine the chance of respiratory aspiration in intermittent ‎bolus tube feeding in patients admitted to ICU and trauma wards.‎

 Methods: In this quasi- experimental study ‎‏36‏‎ patients admitted to ICU and trauma wards ‎were fed by intermittent tube bolus method, for ‎‏3‏‎ days. Each time ‎‏150-300‏cc food liquid was ‎administered for ‎‏7‏‎ times a day every ‎‏3‏‎ hours to patients with a ‎‏60‏‎ cc syringe in ‎‏10-15‏‎ minutes. ‎In order to measure the respiratory aspiration, ‎‏0.5‏‎ cc methylen blue ‎‏1%‏‎ was added to ‎‏500‏‎ cc ‎of each meal. In case of patient's need for suction, when the blue color of methylen blue was ‎observed in patients secretion they appeared to have respiratory aspiration.‎

Results: Data analysis showed that respiratory aspiration occurrence in bolus method was ‎‏5.6%‏‎. ‎ Conclusion: According to results, it is obvious that bolus method as mentioned in texts is still ‎the standard method and risk of respiratory aspiration decreases if it is used properly. ‎

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Type of Study: Research | Subject: Special
Received: 2014/08/3 | Accepted: 2014/08/3 | Published: 2014/08/3

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