Effect of Not Monitoring Residual Gastric Volume on Risk of Ventilator-Associated Pneumonia in Adults Receiving Mechanical Ventilation and Early Enteral Feeding

Reignier, Jean; Mercier, Emmanuelle; Boulain, Thierry; Desachy, Arnaud; Bellec, Frédéric; Clavel, M.; Frat, Jean‐Pierre; Plantefève, Gaëtan; Quenot, Jean‐Pierre

doi:10.1001/jama.2012.196377

Cited by 424 publications

(297 citation statements)

References 64 publications

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“…This finding supports the need for standardisation of these definitions so that research between groups can be more precisely compared. In a prospective interventional study Reignier and colleagues used two definitions of FI and reported that the prevalence of FI was less when defined as vomiting/regurgitation when compared to large GRV and/or vomiting/regurgitation [17].…”

Section: Discussionmentioning

confidence: 99%

Comparison of different definitions of feeding intolerance: A retrospective observational study

et al. 2015

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Section: Discussionmentioning

confidence: 99%

Comparison of different definitions of feeding intolerance: A retrospective observational study

et al. 2015

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“…Consistent with surveys of clinicians in North America the majority of patients were admitted to an ICU where feeding was managed by a dietician using a bedside feeding protocol [13]. The majority of these feeding protocols featured an assessment of gastric residual volume and adjustment of feeds based on this, despite recent data challenging this approach [16]. Gastrokinetic drugs were administered frequently, and this implies that feed intolerance and hence slow gastric emptying is commonplace in this group.…”

Section: Discussionmentioning

confidence: 99%

International observational study of nutritional support in mechanically ventilated patients following burn injury

Czapran

Headdon

Deane

et al. 2015

Burns

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“…GASTRIC RESIDUAL VOLUME (GRV) The GRV should be regularly measured according to most of the feeding protocols. The latest study, however, showed no increase in complications, but better achieved caloric goals in patients without GRV monitoring [23]. This finding might change this protocolized approach in the future.…”

Section: Vomiting (Emesis)mentioning

confidence: 80%

Abdominal signs and symptoms in intensive care patients

Blaser

Starkopf²,

Malbrain

2015

Anaesthesiol Intensive Ther

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Abdominal problems, both as a primary reason for admission or developing as a part of multiple organ dysfunction syndrome during an ICU stay, are common in critically ill patients. The definitions, assessment, incidence and outcome of different abdominal signs, symptoms and syndromes are assessed in the current review. General abdominal signs and symptoms include abdominal pain and distension, as well as other signs assessed during the physical examination (e.g. palpation, percussion). Gastrointestinal (GI) symptoms include vomiting, high gastric residual volumes, diarrhoea, GI bleeding, paralysis of the lower GI tract, bowel dilatation and absent bowel sounds. Although around half of patients suffer from these symptoms, the reported incidences of single symptoms vary within a large range due to variable definitions and case-mix. In a few studies, the total number of coincident GI symptoms was associated with increased mortality. Although acute abdomen is a well-recognized severe syndrome in emergency medicine, its incidence in ICUs is not known. Next to subjective clinical evaluation, intra-abdominal pressure, as a reproducible numerical variable, provides useful assistance in the assessment of the abdominal compartment, whereas intra-abdominal hypertension has been shown to impair the outcome of the critically ill. In conclusion, abdominal symptoms occur in half of patients in ICUs. Clinical evaluation, albeit largely subjective, remains the main bedside tool to detect abdominal problems and to assess GI function in the critically ill. IAP is a useful additional tool in the assessment of abdominal complications in ICUs.

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Effect of Not Monitoring Residual Gastric Volume on Risk of Ventilator-Associated Pneumonia in Adults Receiving Mechanical Ventilation and Early Enteral Feeding

Abstract: clinicaltrials.gov Identifier: NCT01137487.

Cited by 424 publications

References 64 publications

Comparison of different definitions of feeding intolerance: A retrospective observational study

Comparison of different definitions of feeding intolerance: A retrospective observational study

International observational study of nutritional support in mechanically ventilated patients following burn injury

Abdominal signs and symptoms in intensive care patients

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