Monitoring of gastric residual volume during enteral nutrition

Yasuda, Hideto; Kondo, Natsuki; Yamamoto, Ryohei; Asami, Sadaharu; Abe, Takayuki; Tsujimoto, Hiraku; Tsujimoto, Yasushi; Kataoka, Yuki

doi:10.1002/14651858.cd013335

Cited by 12 publications

(12 citation statements)

References 39 publications

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“…It should also be noted that some studies used GRV to evaluate the frequency of feeding intolerance. The use of GRV measurement as a method for evaluating feeding tolerance has been frequently questioned due to insufficient evidence [ 31 ]. It has been previously highlighted that frequent assessment of GRV values increases the risk of blocking the feeding tubes and results in decreased nutritional intake; it is hard to interpret and requires additional workload by the staff [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

Continuous versus Intermittent Enteral Feeding in Critically Ill Children: A Systematic Review

et al. 2023

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Administration of enteral nutrition (EN) in critically ill pediatric patients admitted to the pediatric intensive care unit (PICU) constitutes a major challenge due to the increased risk of complications, as well as the lack of well-trained healthcare professionals. EN is usually delivered via cyclic, continuous, or intermittent feeding; however, a number of potential barriers have been reported in the literature regarding different feeding regimens. The purpose of this review was to assess the effectiveness of continuous and intermittent bolus feeding on critically ill children. A systematic search was conducted in PubMed, Scopus Cochrane Central Register of Controlled Trials (CENTRAL) and a clinical trial registry up to September 2022, including randomized controlled trials (RCTs) published in the English language. Four studies met the inclusion criteria with a total population of 288 patients admitted to the PICU. Three studies were rated with a high risk of bias and one with some concerns. There was high heterogeneity between the studies in regard to the reporting of outcomes. Three studies measured the total time needed to reach prescribed caloric intake with conflicting results, while two studies evaluated the length of stay (LOS) in PICU with no difference between the two arms. One study assessed the time weaning from mechanical ventilation, favoring the bolus group. No data were provided for gastric residual volume (GRV), anthropometric measurements, and biochemical markers. Additional randomized trials with better methodology are needed to assess the efficacy of the two enteral feeding regimens in critically ill PICU patients.

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Section: Discussionmentioning

confidence: 99%

Continuous versus Intermittent Enteral Feeding in Critically Ill Children: A Systematic Review

et al. 2023

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“…Gastric intolerance is mainly associated with regurgitation, and VAP is the main complication. The a prospective interventional trial by Reignier et al (13), which included 449 patients, and a meta-analysis (including 7 clinical trials) of 1,585 patients by Yasuda et al (33) showed that measurement of GRV led to a reduction in intake by stopping EF and that this practice had no impact on 30-day survival of critically ill patients, length of stay, or even on the occurrence of gastric intolerance (33). Measurement of GRV by aspiration is, therefore, no longer recommended or may not be required as part of routine care to monitor critically ill patients on EF, as stated by the ASPEN guidelines (34).…”

Section: Discussionmentioning

confidence: 99%

Gastric Cross-Sectional Area to Predict Gastric Intolerance in Critically Ill Patients: The Sono-ICU Prospective Observational Bicenter Study

Khoury

Pardo

Cambriel

et al. 2023

Critical Care Explorations

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“…der komplette Verzicht auf die Messung des GRV unsicherer ist. Gleichzeitig konnten auch keine Belege für ein oberes Maximum des GRV gefunden werden, bis zu dem die EE noch sicher ist [22]. Insofern sollten die GRV-Messung sowie stationsspezifische Festlegungen zur Pausierung der EE bei hohem GRV weiter Bestandteil der klinischen Routine bleiben.…”

Section: Management Von Motilitätsstörungenunclassified

Die zielgerichtete und phasenadaptierte Ernährung auf der Intensivstation

Blomeier-Schaffran¹,

Dähnert²

2022

intensiv

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Eine Mangelernährung, die schon bei der Aufnahme auf die Intensivstation besteht oder im weiteren Versorgungsprozess auftritt, ist ein häufiges Phänomen. Um die negativen Folgen einer Mangelernährung zu vermeiden, ist eine adäquate Ernährung ein wichtiger Bestandteil der Versorgung kritisch kranker Patienten. Diese muss mit phasenadaptierten Kalorien- und Eiweißzielen erfolgen und auf ihre metabolische Toleranz geprüft werden. Zur besseren Umsetzung der individuellen Ziele können standardisierte Ernährungsprotokolle beitragen.

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Monitoring of gastric residual volume during enteral nutrition

Cited by 12 publications

References 39 publications

Continuous versus Intermittent Enteral Feeding in Critically Ill Children: A Systematic Review

Continuous versus Intermittent Enteral Feeding in Critically Ill Children: A Systematic Review

Gastric Cross-Sectional Area to Predict Gastric Intolerance in Critically Ill Patients: The Sono-ICU Prospective Observational Bicenter Study

Die zielgerichtete und phasenadaptierte Ernährung auf der Intensivstation

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