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Gastric residuals and position and adult

The helpfulness of bedside assessment of gastric residual volume in the prediction of aspiration has been questioned, as has the volume that signals increased risk of aspiration. To describe the association between gastric residual volumes and aspiration of gastric contents. In a prospective study of critically ill patients receiving gastric tube feedings for 3 consecutive days, gastric residual volumes were measured with mL syringes every 4 hours. Measured volumes were categorized into 3 overlapping groups: at least mL, at least mL, and at least mL. Gastric residual volumes were compared between the 2 aspiration groups.
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Aspiration and Evaluation of Gastric Residuals in the NICU: State of the Science

Gastric residuals and position and adult
Gastric residuals and position and adult
Gastric residuals and position and adult
Gastric residuals and position and adult
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[PDF] Checking Gastric Residual Volumes: A Practice in Search of Science? - Semantic Scholar

The routine aspiration of gastric residuals GR is considered standard care for critically ill infants in the neonatal intensive care unit NICU. Unfortunately, scant information exists regarding the risks and benefits associated with this common procedure. This article provides the state of the science regarding what is known about the routine aspiration and evaluation of GRs in the NICU focusing on the following issues: 1 The use of GRs for verification of feeding tube placement, 2 GRs as an indicator of gastric contents, 3 GRs as an indicator of feeding intolerance or necrotizing enterocolitis, 4 the association between GR volume and ventilator associated pneumonia, 5 whether GRs should be discarded or re-fed, 6 the definition of an abnormal GR, and 7 the potential risks associated with aspiration and evaluation of GRs. Recommendations for further research and practice guidelines are also provided. In the neonatal intensive care unit NICU , it is customary to routinely perform gastric residual GR aspiration and evaluation prior to every feeding in critically ill infants. In order to determine potentially better practices for the NICU, this article summarizes available evidence regarding GR aspiration and evaluation in critically ill infants and offers recommendations for future research and clinical implications.
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Checking Gastric Residual Volumes: A Practice in Search of Science?

The routine aspiration of gastric residuals GR is considered standard care for critically ill infants in the neonatal intensive care unit NICU. Unfortunately, scant information exists regarding the risks and benefits associated with this common procedure. This article provides the state of the science regarding what is known about the routine aspiration and evaluation of GRs in the NICU focusing on the following issues: 1 The use of GRs for verification of feeding tube placement, 2 GRs as an indicator of gastric contents, 3 GRs as an indicator of feeding intolerance or necrotizing enterocolitis, 4 the association between GR volume and ventilator associated pneumonia, 5 whether GRs should be discarded or re-fed, 6 the definition of an abnormal GR, and 7 the potential risks associated with aspiration and evaluation of GRs. Recommendations for further research and practice guidelines are also provided. In the neonatal intensive care unit NICU , it is customary to routinely perform gastric residual GR aspiration and evaluation prior to every feeding in critically ill infants.
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The feeding was stopped several times and not advanced to goal over a five-day period due to a measured gastric residual of 80 mL, or twice the flow rate. At that particular hospital, standard nursing practice was to discontinue tube feedings for this reason. Clinical RDs working in hospitals across the country hear similar reports every day. The problem with using gastric residual volume GRV to evaluate EN tolerance is that feedings are often stopped unnecessarily and not advanced to goal, resulting in inadequate nutrition for patients.
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Vukora | 13.06.2019
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