Objective To establish early enteral nutrition tolerance assessment and graded management for critically ill patients.Methods The first draft of management program was established by review of related original studies at home and abroad and group discussion. Two rounds of expert consultation were conducted via Delphi method to finalize the management program.Results The management program consisted of 2 first-level items,12 second-level items and 30 third-level items. The expert authority scores of two rounds were 0.937 and 0.934.The expert coordination coefficients were 0.119 and 0.112.Conclusion There were high levels of coordination,enthusiasm,and authority in experts. The management program can be used as a basis for comprehensive assessment and graded management for critically ill patients.