scholarly journals Continuous Assessment of Gastric Motility and Its Relation to Gastric Emptying in Adult Critically Ill Patients

2020 ◽  
Author(s):  
Nick Goelen ◽  
Pieter Janssen ◽  
Jan Tack ◽  
John Morales ◽  
Tine Honinx ◽  
...  
Keyword(s):  
Gastric Emptying ◽  
Critically Ill ◽  
Gastric Motility ◽  
Critically Ill Patients ◽  
Continuous Assessment

Recovery of gastric motility after peg positioning in critically ill patients

2001 ◽  
Vol 33 ◽  
pp. A119
Author(s):  
Giuseppe Piccinni ◽  
Gianluigi Di Giulio ◽  
Mario Testini ◽  
Anna Angrisano ◽  
MariaGrazia Forte
Keyword(s):  
Critically Ill ◽  
Gastric Motility ◽  
Critically Ill Patients

scholarly journals Continuous assessment of neuro-ventilatory drive during 12 hours of pressure support ventilation in critically ill patients 

2020 ◽  
Author(s):  
Rosa Di Mussi ◽  
Savino Spadaro ◽  
Carlo Alberto Volta ◽  
Nicola Bartolomeo ◽  
Paolo Trerotoli ◽  
...  
Keyword(s):  
Critically Ill ◽  
Critically Ill Patients ◽  
Pressure Support Ventilation ◽  
Pressure Support ◽  
Breathing Pattern ◽  
Continuous Assessment ◽  
Support Ventilation ◽  
Pressure Time ◽  
Ventilatory Drive ◽  
Patient At Risk

Abstract Introduction: Pressure support ventilation (PSV) should allow spontaneous breathing with a “normal” neuro-ventilatory drive. Low neuro-ventilatory drive puts the patient at risk of diaphragmatic atrophy while high neuro-ventilatory drive may causes dyspnea and patient self-inflicted lung injury. We continuously assessed for 12 hours the electrical activity of the diaphragm (EAdi), a close surrogate of neuro-ventilatory drive, during PSV. Our aim was to document the EAdi trend and the occurrence of periods of “Low” and/or “High” neuro-ventilatory drive during clinical application of PSV. Method: In 16 critically ill patients ventilated in the PSV mode for clinical reasons, inspiratory peak EAdi peak (EAdiPEAK), pressure time product of the trans-diaphragmatic pressure per breath and per minute (PTPDI/b and PTPDI/min, respectively), breathing pattern and major asynchronies were continuously monitored for 12 hours (from 8 a.m. to 8 p.m.). We identified breaths with “Normal” (EAdiPEAK 5 - 15 mV), “Low” (EAdiPEAK < 5 mV) and “High” (EAdiPEAK >15 mV) neuro-ventilatory drive. Results: Within all the analyzed breaths (177.117), the neuro-ventilatory drive, as expressed by the EAdiPEAK, was “Low” in 50.116 breath (28 %), “Normal” in 88.419 breaths (50 %) and “High” in 38.582 breaths (22 %). The average times spent in “Low”, “Normal” and “High” class were 1.37, 3.67 and 0,55 hours, respectively (p < 0.0001), with wide variations among patients. Eleven patients remained in the “Low” neuro-ventilatory drive class for more than one hour, median 6.1 [3.9 - 8.5] hours and 6 in the “High” neuro-ventilatory drive class, median 3.4 [2.2 – 7.8] hours. The asynchrony index was significantly higher in the “Low” neuro-ventilatory class, mainly because of a higher number of missed efforts. Conclusions: We observed wide variations in EAdi amplitude and unevenly distributed “Low” and “High” neuro ventilatory drive periods during 12 hours of PSV in critically ill patients. Further studies are needed to assess the possible clinical implications of our physiological findings.

scholarly journals A Novel Technique for Post-pyloric Feeding Tube Placement in Critically Ill Patients: A Pilot Study

2005 ◽  
Vol 33 (2) ◽  
pp. 229-234 ◽  
Author(s):  
R. J. Young ◽  
M. J. Chapman ◽  
R. Fraser ◽  
R. Vozzo ◽  
D. P. Chorley ◽  
...  
Keyword(s):  
Gastric Emptying ◽  
Pilot Study ◽  
Real Time ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Feeding Tube ◽  
Insertion Time ◽  
Tube Placement ◽  
Feeding Tubes ◽  
Feeding Tube Placement

Delivery of enteral nutrition in critically ill patients is often hampered by gastric stasis necessitating direct feeding into the small intestine. Current techniques for placement of post-pyloric feeding catheters are complex, time consuming or both, and improvements in feeding tube placement techniques are required. The Cathlocator™ is a novel device that permits real time localisation of the end of feeding tubes via detection of a magnetic field generated by a small electric current in a coil incorporated in the tip of the tube. We performed a pilot study evaluating the feasibility of the Cathlocator™ system to guide and evaluate the placement of (1) nasoduodenal feeding tubes, and (2) nasogastric drainage tubes in critically ill patients with feed intolerance due to slow gastric emptying. A prospective study of eight critically ill patients was undertaken in the intensive care unit of a tertiary hospital. The Cathlocator™ was used to (1) guide the positioning of the tubes post-pylorically and (2) determine whether nasogastric and nasoduodenal tubes were placed correctly. Tube tip position was compared with data obtained by radiology. Data are expressed as median (range). Duodenal tube placement was successful in 7 of 8 patients (insertion time 12.6 min (5.3–34.4)). All nasogastric tube placements were successful (insertion time 3.4 min (0.6–10.0)). The Cathlocator™ accurately determined the position of both tubes without complication in all cases. The Cathlocator™ allows placement and location of an enteral feeding tube in real time in critically ill patients with slow gastric emptying. These findings warrant further studies into the application of this technique for placement of post-pyloric feeding tubes.

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

Effect of erythromycin on gastric motility in mechanically ventilated critically ill patients

1995 ◽  
Vol 23 (8) ◽  
pp. 1356-1362 ◽  
Author(s):  
Alain Dive ◽  
Christian Miesse ◽  
Laurence Galanti ◽  
Jacques Jamart ◽  
Patrick Evrard ◽  
...  
Keyword(s):  
Critically Ill ◽  
Gastric Motility ◽  
Critically Ill Patients ◽  
Mechanically Ventilated

Impaired gastric emptying in mechanically ventilated, critically ill patients

1996 ◽  
Vol 22 (12) ◽  
pp. 1339-1344 ◽  
Author(s):  
D. K. Heyland ◽  
G. Tougas ◽  
D. King ◽  
D. J. Cook
Keyword(s):  
Gastric Emptying ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Mechanically Ventilated

Gastric emptying in mechanically ventilated critically ill patients: effect of neuromuscular blocking agent

2003 ◽  
Vol 29 (10) ◽  
pp. 1717-1722 ◽  
Author(s):  
Fabienne Tamion ◽  
Karine Hamelin ◽  
Annie Duflo ◽  
Christophe Girault ◽  
Jean-Christophe Richard ◽  
...  
Keyword(s):  
Gastric Emptying ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Blocking Agent ◽  
Neuromuscular Blocking ◽  
Neuromuscular Blocking Agent ◽  
Mechanically Ventilated
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