Monitoring of gastric residual volume during enteral nutrition

Gastric Emptying and Administration of Enteral Nutrition

Gastric residual volume: end of an era.

GASTRIC DYSMOTILITY IS COMMON IN CRITICALLY ILL patients. The pathophysiology is multifactorial including the severity and etiology of the underlying critical illness, use of narcotic analgesia and other sedatives, decreased blood flow from shock, and use of vasopressors. Gastric dysmotility results in delayed gastric emptying that may place patients at risk of developing complications such as ...

Residual volume measurement should be retained in enteral feeding protocols.

I n a study reported in this issue, O’Meara and colleagues provide evidence that underfeeding via the enteral route is a serious problem in critically ill patients. Although other researchers have reported similar findings, these researchers provide an opportunity to consider where changes could have been made to alleviate the problem. In their observational study, O’Meara and colleagues found ...

Comparison of Effect of Prone and Right Lateral Positions on Gastric Residual Volume in Preterm Newborns

Background: Nutritional problems in premature newborns are of great importance for their development. In this regard, the neonatal positioning during and after feeding can have a significant effect on their nutritional tolerance. Therefore, the present study was conducted to compare the effect of two positions (i.e., prone and right lateral) on gastric residual volume ...

Nutritional Prescription of Enteral Nutrition: Enhanced Dose of Enteral Nutrition

2015 Recommendation: Based on 1 level 1 study, 3 level 2 studies and 2 cluster randomized controlled trials, when starting enteral nutrition in critically ill patients, strategies to optimize delivery of nutrients (starting at target rate, volume-based feeding strategies, higher threshold of gastric residual volumes, use of prokinetics, concentrated feeding solutions and small bowel feedings) s...