scholarly journals Determining Optimal Outcome Measures in a Trial Investigating No Routine Gastric Residual Volume Measurement in Critically Ill Children

2020 ◽  
Author(s):  
Lyvonne N. Tume ◽  
Barbara Arch ◽  
Kerry Woolfall ◽  
Louise Roper ◽  
Elizabeth Deja ◽  
...  
Keyword(s):  
Critically Ill ◽  
Outcome Measures ◽  
Volume Measurement ◽  
Critically Ill Children ◽  
Residual Volume ◽  
Optimal Outcome ◽  
Gastric Residual Volume

scholarly journals Optimal outcome measures for a trial of not routinely measuring gastric residual volume in neonatal care: a mixed methods consensus process

2020 ◽  
Vol 106 (3) ◽  
pp. 292-297
Author(s):  
Chris Gale ◽  
Jon Dorling ◽  
Barbara Arch ◽  
Kerry Woolfall ◽  
Elizabeth Deja ◽  
...  
Keyword(s):  
Literature Review ◽  
Outcome Measures ◽  
Healthcare Professionals ◽  
Neonatal Care ◽  
Consensus Meeting ◽  
Residual Volume ◽  
Optimal Outcome ◽  
Healthcare Associated Infection ◽  
Gastric Residual Volume ◽  
Routine Measurement

Background Routine measurement of gastric residual volume to guide feeding is widespread in neonatal units but not supported by high-quality evidence. Outcome selection is critical to trial design. Objective To determine optimal outcome measures for a trial of not routinely measuring gastric residual volume in neonatal care. Design A focused literature review, parent interviews, modified two-round Delphi survey and stakeholder consensus meeting. Participants Sixty-one neonatal healthcare professionals participated in an eDelphi survey; 17 parents were interviewed. 19 parents and neonatal healthcare professionals took part in the consensus meeting. Results Literature review generated 14 outcomes, and parent interviews contributed eight additional outcomes; these 22 outcomes were then ranked by 74 healthcare professionals in the first Delphi round where four further outcomes were proposed; 26 outcomes were ranked in the second round by 61 healthcare professionals. Five outcomes were categorised as ‘consensus in’, and no outcomes were voted ‘consensus out’. ‘No consensus’ outcomes were discussed and voted on in a face-to-face meeting by 19 participants, where four were voted ‘consensus in’. The final nine consensus outcomes were: mortality, necrotising enterocolitis, time to full enteral feeds, duration of parenteral nutrition, time feeds stopped per 24 hours, healthcare-associated infection; catheter-associated bloodstream infection, change in weight between birth and neonatal discharge and pneumonia due to milk aspiration. Conclusions and relevance We have identified outcomes for a trial of no routine measurement of gastric residual volume to guide feeding in neonatal care. This outcome set will ensure outcomes are important to healthcare professionals and parents.

scholarly journals Gastric Residual Volume Measurement in U.K. PICUs

2019 ◽  
Vol 20 (8) ◽  
pp. 707-713 ◽  
Author(s):  
Lyvonne N. Tume ◽  
Barbara Arch ◽  
Kerry Woolfall ◽  
Lynne Latten ◽  
Elizabeth Deja ◽  
...  
Keyword(s):  
Volume Measurement ◽  
Residual Volume ◽  
Gastric Residual Volume

590 What Is the Most Appropriate Gastric Residual Volume to Identify Delayed Gastric Emptying in Critically Ill Patients?

2008 ◽  
Vol 134 (4) ◽  
pp. A-81
Author(s):  
Nam Q. Nguyen ◽  
Katrina Ching ◽  
Robert J. Fraser ◽  
Ross N. Butler ◽  
Richard H. Holloway
Keyword(s):  
Gastric Emptying ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Delayed Gastric Emptying ◽  
Residual Volume ◽  
Gastric Residual Volume

scholarly journals Literature Study: The Effect of Abdominal Massage to Reduce Gastric Residual Volume in Critically Ill Patients

2013 ◽  
Vol 9 (2) ◽  
pp. 143-150
Author(s):  
Adella Indri Afitasari ◽  
◽  
Dian Hudiyawati
Keyword(s):  
Critically Ill ◽  
Critically Ill Patients ◽  
Cost Effective ◽  
Abdominal Distension ◽  
Abdominal Pressure ◽  
Residual Volume ◽  
Gastric Residual Volume ◽  
Gastrointestinal Dysfunction ◽  
Literature Study ◽  
Abdominal Massage

Gastrointestinal dysfunction is one of the most common problems experienced by patients in the ICU, such as abdominal distension, constipation, and increased gastric residual volume. Currently, non-pharmacological interventions have been developed to address these problems. Abdominal massage intervention is considered a method that can improve digestive function. The purpose of this literature study was to determine the effect of abdominal massage to reduce the gastric residual volume in critically ill patients. Selected articles were obtained through online databases such as PubMed, Google Scholar, and ScienceDirect. There were seven articles obtained after going through screening and identified for critical review. There were five study randomized controlled trials, three quasi-experimental designs, one study, one group pre-test post-test, and one article one-shot case study. The results of this study found that abdominal massage was effective in reducing gastric residual volume. Mechanism of abdominal massage with stimulation of peristalsis, changes in intra-abdominal pressure, mechanical and reflexive effects on the intestine, thereby shortening the transition time of food in the intestine, increasing bowel movements, and easier flow of food through the digestive tract. So that nurses in the ICU are expected to use abdominal massage as an intervention option at critical times, considering that this intervention can prevent gastrointestinal dysfunction with low risk and is cost-effective.

Feasibility and Predictive Value of Ultrasound Assessment of the Gastric Residual Volume in Surgical Critically Ill Patients

2016 ◽  
Vol 44 (12) ◽  
pp. e1255-e1257 ◽  
Author(s):  
Jeanne Chatelon ◽  
Camille Bourillon ◽  
Hélène Darmon ◽  
Hélène Carbonne ◽  
Vibol Chhor ◽  
...  
Keyword(s):  
Critically Ill ◽  
Critically Ill Patients ◽  
Predictive Value ◽  
Residual Volume ◽  
Gastric Residual Volume ◽  
Ultrasound Assessment
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