Protocolo de infusão de nutrição enteral por sistema fechado para pacientes adultos hospitalizados

Abstract

Background: Enteral nutrition (EN) is understood as food for special purposes for use by oral route (OR) and / or feeding tube, indicated for patients with intact or partially functioning gastrointestinal tract (GT), who are unable to reach 60% of your energy needs per OR. Collegiate Board Resolution n. 63 regulates two enteral diet infusion systems: open system (OS) and closed system (CS), with nurses being responsible for ensuring safe and free malpractice nutritional assistance to the patient. The objectives of the study were to review in the literature the aspects related to the open and closed enteral diet (ED) infusion systems, and to develop protocols for the standardization of procedures for the administration of ED by CS for hospitalized adult patients. Materials and Methods: Methodological study, developed from March 2020 to April 2021, in a Public University Hospital. Results: The literature shows that the DE infusion by CS has a better cost-benefit ratio when compared to the OS. In the present study, three protocols were elaborated, ranging from nutritional therapy planning actions, choosing the access route and infusion system for ED administration until the conclusion of the administration by CS. Conclusion: Studies demonstrate a better cost-benefit ratio of CS compared to OS. Protocols related to the CS of DE are still scarce. Future studies are still needed to standardize care practices in enteral nutrition therapy using a closed system.