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Abstract
Patients undergoing heart transplant (HT) and ventricular assist device (VAD) implant may experience intra- and postoperative complications requiring high-dose vasopressor agents and/or mechanical circulatory support. These complications increase the risk of nonocclusive bowel ischemia (NOBI) and inadequate enteral nutrition (EN) delivery, and guidance for this high-risk patient population is limited. To optimize nutrition support practices in this patient population at our institution, we created the High-Risk Nutrition Support Protocol (HRNSP) to improve nutrient delivery and promote safer EN practices in the setting of NOBI risk factors after HT and VAD implant.We developed and implemented a nutrition support protocol as a quality improvement (QI) initiative. Data were obtained before (n?=?62) and after (n?=?52) protocol initiation. We compared nutrition and clinical outcomes between the pre- and post-intervention groups.Fewer calorie deficits (P?
View details for DOI 10.1002/ncp.10854
View details for PubMedID 35606342