Use of gastric residual volume to guide enteral nutrition in critically ill patients: A brief systematic review of clinical studies

Nutrition ◽  
2013 ◽  
Vol 29 (9) ◽  
pp. 1075-1079 ◽  
Author(s):  
David D. Kuppinger ◽  
Peter Rittler ◽  
Wolfgang H. Hartl ◽  
Dominik Rüttinger
Keyword(s):  
Systematic Review ◽  
Enteral Nutrition ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Clinical Studies ◽  
Residual Volume ◽  
Gastric Residual Volume

scholarly journals Does enteral nutrition infusion rate impact on the gastric residual volume of critically Ill Patients?

2020 ◽  
Vol 12 (2) ◽  
pp. 78-82
Author(s):  
Poliana Guiomar de Almeida Brasiel ◽  
Adriana Soares Torres Melo ◽  
Aline Silva de Aguiar ◽  
Sheila Cristina Potente Dutra Luquetti
Keyword(s):  
Enteral Nutrition ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Infusion Rate ◽  
Residual Volume ◽  
Gastric Residual Volume

scholarly journals A Current Survey of the Gastric Residual Volume in Critically Ill Patients Who Are Receiving Enteral Nutrition

2009 ◽  
Vol 2 (1) ◽  
pp. 24-29
Author(s):  
Young-Ok Park ◽  
Eun-Hee Kang ◽  
So-Jung Park ◽  
Min-A Park ◽  
So-Yoon Yoon ◽  
...  
Keyword(s):  
Enteral Nutrition ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Residual Volume ◽  
Gastric Residual Volume ◽  
Current Survey ◽  
A Current

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 Impact of Enteral Nutrition Formulations Containing Dietary Fiber on Diarrhea Outcomes in Hospitalized Critical Care Patients: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 842-842
Author(s):  
Kelly Cara ◽  
Andrew Beauchesne ◽  
Taylor Wallace ◽  
Mei Chung
Keyword(s):  
Systematic Review ◽  
Critical Care ◽  
Enteral Nutrition ◽  
Dietary Fiber ◽  
Critically Ill ◽  
Random Effects ◽  
Critically Ill Patients ◽  
Outcome Data ◽  
Meta Analyses ◽  
Critical Care Patients

Abstract Objectives The objective is to conduct a systematic review on the safety of using enteral nutrition formulations containing dietary fiber in hospitalized critical care patients. Methods This systematic review was conducted in accordance with the Cochrane Handbook for Systematic Reviews of Interventions (Version 6.1,2020). Searches were implemented in four databases on 4/20/20. Results were limited to English language studies conducted in humans. Any clinical study design or case study measuring adverse events (e.g., diarrhea and mortality) or health outcomes (as defined in each study) associated with enteral nutrition interventions containing dietary fiber in adult critically ill patients was considered. Random effects meta-analyses were conducted on outcomes assessed by three or more included studies. Results Altogether, 18 articles were included, and 11 randomized controlled trials assessed diarrhea outcomes (i.e., diarrhea score and number or frequency of events). Six studies used the Hart and Dobb (1988) diarrhea score, and random effects meta-analyses showed the mean diarrhea scores were lower for fiber compared to non-fiber groups (n = 4, pooled mean difference: −2.78, 95% confidence interval: −4.10, −1.47). Five of seven reported group comparisons showed fewer diarrhea events for fiber compared with non-fiber groups, although the overall difference was not statistically significant (n = 7, pooled risk ratio: 0.68, 95% CI: 0.45, 1.02). For three studies using other or unspecified scoring methods, pooled results showed significantly fewer diarrhea events in the fiber groups compared to non-fiber groups (n = 3, pooled RR: 0.42, 95% CI: 0.20, 0.89). Studies reported no difference in incidence of mortality due to fiber interventions (n = 7, pooled RR: 0.99, 95% CI: 0.66, 1.48). Risk of bias for diarrhea outcomes was high due to missing outcome data, and there was some concern for bias due to randomization, measurement of the outcome, and selection of reported results. Conclusions Enteral nutrition formulas with fiber may help reduce incidence and severity of diarrhea in critically ill patients without increasing incidence of mortality. As these results are subject to bias, more high-quality studies are needed to verify this conclusion. Funding Sources This study was supported by funding from an unrestricted educational grant from Nestle Health Sciences.

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.

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