Parameters:
(1) gastric residual volume in mL
(2) enteral feeding rate in mL per hour
(3) complications, especially diarrhea
The enteral feeding rate could range from a minimum of 20 mL per hour to a target value determined by the nutritionist.
Criteria for success - all of the following:
(1) gastric residual volume < 250 mL
(2) enteral feeding rate > 40 mL per hour
(3) no or minimal complications
Criteria for failure - any of the following:
(1) gastric residual volume > 250 mL measured twice in the first 24 hours after starting therapy
(2) gastric residual volume > 250 mL at any time after 24 hours of starting therapy
(3) excessive complications to the minimal feeding rate (20 mL per hour)
where:
• The criteria as stated do not interpret a residual volume of exactly 250 mL. In the implementation >= 250 mL will be used.
