Table 2.
Method of feeding | Indication | Comments |
Bolus intermittent (by syringe or bulb) | Ambulatory patients | 100-400 mL over 5-10 min multiple times, high risk of aspiration and diarrhea, cheap and convenient for NGT |
Cyclic intermittent (by gravity or pump) | Partially recumbent | Higher infusion rate for a shorter period (8-16 h); while changing from tube feeds to oral |
Intermittent drip | Home enteral feeding | 1.5-2 L over 8-12 h overnight, no daytime feeds |
(by gravity or pump) | ||
Constant infusion (by gravity or pump) | Bedridden patients ICU patients | Initiate with 20-50 mL/h, altered periodically depending on gastric residual volume, increased chances of aspiration and metabolic abnormalities; incline head end of bed to 45° to reduce aspiration and regurgitation |
NGT: Nasogastric tube; ICU: Intensive care unit.