For ICU patients receiving enteral nutrition (tube feeds):
- Hold feeds 4 hours prior to extubation
- Hold feeds for increasing abdominal distension, pain or vomiting and address with pain meds, anti-emetics, and review of bowel regimen
- Hold feeds 6 hours prior to procedure if:
- Patient not intubated
- Patient will need ETT change in OR
- Oral/airway surgery (including trach)
- Planned gastrointestinal surgery
- Upper endoscopy
- TEE
Consider hold feeds prior to procedure:
- Feeding tube in stomach and high aspiration risk*
- Prolonged prone position or HOB <30 degrees
FOR ALL OTHER INTUBATED PATIENTS UNDERGOING SURGERY, IR, or ANGIOGRAPHY FEEDS WILL NOT BE INTERRUPTED