1 / 13

SIFT

SIFT. Milk Feed Guidance. A multi-centre randomised controlled trial of two speeds of daily increment of milk feeding in very preterm or very low birth weight infants. At Randomisation: Infant receiving < 30ml/kg/d of milk Feeds should be advanced at allocated rate

cadee
Download Presentation

SIFT

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. SIFT • Milk Feed Guidance A multi-centre randomised controlled trial of two speeds of daily increment of milk feeding in very preterm or very low birth weight infants

  2. At Randomisation: • Infant receiving < 30ml/kg/d of milk • Feeds should be advanced at allocated rate • as soon as possible after randomisation

  3. Calculate milk volume on • Birth Weight or Current Weight (whichever is greater) • Prescribe total milk volume for that day using allocated increment • e.g. from 30 to 60ml/kg/d (fast) • from 30 to 48 ml/kg/d (slow) • Divide this total by the number of feeds you would normally give • 1 hourly = 24 feeds • 2 hourly = 12 feeds • 3 hourly = 8 feeds • For ease, rounding to nearest 0.5 ml is acceptable

  4. Online calculator An online calculator is available via the randomisation program to assist with feed calculations.

  5. https://rct.npeu.ox.ac.uk/siftdemo/feed_schedule.php

  6. For those who like charts FAST MILK FEED INCREASE(30 ml/kg/day increment on HOURLY feeds) In addition to the milk volume being given at the start of increasing the feeds • Larger 24 hour steps (bold) preferred • Smaller 8 hour steps also shown

  7. SLOW MILK FEED INCREASE(18 ml/kg/day increment on HOURLY feeds) In addition to the milk volume being given at the start of increasing the feeds • Larger 24 hour steps (bold) preferred • Smaller 8 hour steps also shown

  8. FAST MILK FEED INCREASE(30 ml/kg/day increment on 2 HOURLY feeds) In addition to the milk volume being given at the start of increasing the feeds • Larger 24 hour steps (bold) preferred • Smaller 8 hour steps also shown

  9. SLOW MILK FEED INCREASE(18 ml/kg/day increment on 2 HOURLY feeds) In addition to the milk volume being given at the start of increasing the feeds • Larger 24 hour steps (bold) preferred • Smaller 8 hour steps also shown

  10. What do I do if… • Feeds are stopped? • Start at previous rate and follow prescribed increment • Start from beginning and follow prescribed increment • Start from beginning and follow unit’s policy • All treatment and management are at clinician discretion • Record all data regardless of regimen adopted

  11. What do I do if… • Baby has large gastric residuals? • Clinician discretion – but aim to prevent feeds being stopped or reduced without justification • Record all data

  12. What do I do if… • Baby misses a days increment? • Increase at prescribed rate • Don’t try and make up time • Record all data If the data are recorded then what happened to the baby is captured

  13. NPEU Clinical Trials Unit Department of Public Health University of Oxford Old Road Campus Oxford OX3 7LF T: 01865 617 919 F: 01865 289 740 E: sift@npeu.ox.ac.uk www.npeu.ox.ac.uk/sift Thanks for your attention Best of luck with the study!

More Related