Evaluation of the effect on patient parameters of not monitoring gastric residual volume in intensive care patients on a mechanical ventilator receiving enteral feeding: A randomized clinical trial
Evaluation of the effect on patient parameters of not monitoring gastric residual volume in intensive care patients on a mechanical ventilator receiving enteral feeding: A randomized clinical trial
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DOI：
10.1016/j.jcrc.2016.01.028
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发表时间：
2016-06-01
影响因子：
3.7
通讯作者：
Ozen, Volkan
中科院分区：
文献类型：
--
作者：
Ozen, Nurten;Tosun, Nuran;Ozen, Volkan
目的：本研究旨在评估不测量胃残气量（GRV）在重症监护患者的机械呼吸机和接受肠内喂养的喂养不耐受，胃食管反流（格尔）的风险，和nutritional adequacy.Methods的影响：这项随机临床研究进行了2个医疗重症监护病房的2所大学医院在土耳其安卡拉。将患者随机分为2组。在GRV监测组中，每天测量3次GRV，接受GRV阈值为250 mL。此外，在该组中使用24小时pH监测来评估格尔的风险。在未进行GRV监测的组中，未测量GRV。结果：无GRV监测组（n = 26）在达到喂养目标方面更快，并发症发生率没有增加（P <0.05）。GRV监测组（n = 25）GRV与格尔率之间无显著相关性（P > 0.05）。结论：GRV测量的差异使其监测喂养不耐受和GER不可靠，因此GRV测量的使用可能会停止作为医学重症监护病房标准护理方案的一部分。(C)版权所有© 2016 Elsevier Inc.
Purpose: This study aimed to evaluate the effects of not measuring gastric residual volume (GRV) in intensive care patients on a mechanical ventilator and receiving enteral feeding on the feeding intolerance, gastroesophageal reflux (GER) risk, and nutritional adequacy.Methods: This randomized clinical study was performed in 2 medical intensive care units of 2 university hospitals in Ankara, Turkey. The patients were randomized into 2 groups. In the group with GRV monitoring, GRV was measured 3 times a day, and the GRV threshold was accepted as 250 mL. In addition, 24-hour pH monitoring was used in this group to assess the risk of GER In the group without GRV monitoring, GRV was not measured. The patients were followed-up for 5 days.Results: The feeding targets were reached more quickly in the group without GRV monitoring (n = 26) with no increase in the complication rate (P < .05). No significant relationship was found between GRV and GER in the group with GRV monitoring (n 25) (P >.05).Conclusion: The discrepancies in GRV measurement make it unreliable for monitoring feeding intolerance and GER. The use of GRV measurements may therefore be discontinued as part of the standard care protocol in medical intensive care units. (C) 2016 Elsevier Inc All rights reserved.