Show Notes
The dietitian's role in managing enterocutaneous fistulas is critical to patient outcomes. In this video Megan RD, LDN, CNSC talks us through everything from what a fistula is, how to estimate needs, and different feeding approaches that can be pursued for patients with ECFs.
Looking to read more? Check out some of these resources on fistulas: Vanzant, Erinc; Thompson, Ashleyc; Mendoza, Aprilb; Yeh, Dantea. Current fistula management. Current Opinion in Critical Care 30(2):p 172-177, April 2024. | DOI: 10.1097/MCC.0000000000001147
ASPEN-FELANPE Clinical Guidelines: Nutrition Support of Adult Patients with Enterocutaneous Fistula by Kumpf et al. 2016 https://aspenjournals.onlinelibrary.wiley.com/doi/10.1177/0148607116680792
Closed Captions provided by Kaitlyn Batista MS, RDN, CDN, CNSC
Time stamps: 0:00 Introduction 0:12 What is a Fistula? 1:02 When and Why Do ECFs Occur? 1:22 Fistula Output 1:54 Fistula Management 2:39 High Output Fistulas 3:05 Energy Needs 3:48 Protein Needs 4:18 Fluid and Electrolytes 4:47 Proximal vs Distal 5:30 Rehydration and Electrolytes 6:13 Micronutrients in ECF management 7:00 Preparing for Feeding 8:02 Feeding Considerations 8:38 Fistuloclysis 9:15 High Output Feeds 10:09 Low Output Feeds 10:40 Summary
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