While the importance of enteral nutrition (EN), or feeding patients through a tube, in an intensive care unit is well understood, underfeeding is still common. A practice of a certain amount of feeding per hour can be interrupted by tests, procedures, or emergencies. Changing to a volume-based system, which calls for a certain nutrition volume per day, could reduce underfeeding, according to a quality improvement audit published in the American Society for Parenteral and Enteral Nutrition’s (A.S.P.E.N.) Nutrition in Clinical Practice journal on August 26th 2014.