Effect of Not Monitoring Residual Gastric Volume on Risk of Ventilator-Associated Pneumonia in Adults Receiving Mechanical Ventilation and Early Enteral Feeding

Reignier, Jean; Mercier, Emmanuelle; Gouge, Amélie Le; Boulain, Thierry; Desachy, Arnaud; Bellec, Frédéric; Clavel, M.; Frat, Jean‐Pierre; Plantefève, Gaëtan; Quenot, Jean-Pierre; Lascarrou, Jean-Baptiste

doi:10.1097/01.sa.0000446365.11416.b0

Cited by 97 publications

(109 citation statements)

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“…[43][44][45] GRVs greater than 250 mL are associated with a higher rate of aspiration pneumonia. 40 However, researchers in a recent study 46 examined absence of GRV monitoring in gastric-fed patients receiving mechanical ventilation and reported no significant difference in the rate of ventilator- …”

Section: Implications For Practicementioning

confidence: 99%

Head-of-Bed Elevation and Early Outcomes of Gastric Reflux, Aspiration and Pressure Ulcers: A Feasibility Study

Schallom¹,

Dykeman²,

Metheny³

et al. 2014

American Journal of Critical Care

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A closed-book, multiple-choice examination following this article tests your under standing of the following objectives:1. Describe the risks and benefits of head-of-bed elevation. 2. Identify the findings at 30° and 45° head-ofbed elevation. 3. Discuss the early outcomes regarding head-ofbed elevation. Background Guidelines recommending head of bed (HOB) elevation greater than 30º to prevent ventilator-associated pneumonia conflict with guidelines to prevent pressure ulcers, which recommend HOB elevation less than 30º. Objectives To examine the feasibility of 45º HOB elevation and describe and compare the occurrence of reflux, aspiration, and pressure ulcer development at 30º and 45º HOB elevation. Methods A randomized 2-day crossover trial was conducted. HOB angle was measured every 30 seconds. Oral and tracheal secretions were analyzed for pepsin presence. Skin was assessed for pressure ulcers. Wilcoxon signed rank tests and

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Section: Implications For Practicementioning

confidence: 99%

Head-of-Bed Elevation and Early Outcomes of Gastric Reflux, Aspiration and Pressure Ulcers: A Feasibility Study

Schallom¹,

Dykeman²,

Metheny³

et al. 2014

American Journal of Critical Care

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“…Если все-таки ОЖС измеряется, объем менее 500 мл не должен быть сигналом к прекращению энтерального питания, если отсутствуют такие признаки, как вздутие живота, тошнота или рвота. В одном из исследований у 222 паци-ентов ОРИТ мониторировался ОЖС каждые шесть часов, с регулированием скорости инфузии энтерального питания при ОЖС более 250 мл, и 227 пациентов получали энте-ральное питание без контроля ОЖС (скорость энтераль-ного питания была скорректирована только тогда, когда пациенты испытывали тошноту или была рвота) [46]. Количество вентилятор-ассоциированных пневмоний не различалось в обеих группах, но в то же время было почти в два раза больше эпизодов рвоты в группе без мониторинга, при этом общая частота рвоты была относи-тельно низкой.…”

Section: мониторингunclassified

Enteral Nutrition After Advadvanced Combined Operative Interventions in Oncosurgery

Нехаев¹,

Сытов²,

Ломидзе³

2016

Med. sov.

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Энтеральное питание (ЭП) -тип лечебного или дополнительного питания специальными смесями, при котором всасыва-ние пищи (при ее поступлении через рот, через зонд в желудке или кишечнике) осуществляется физиологически адекват-ным путем, то есть через слизистую оболочку желудочно-кишечного тракта. В данном обзоре будут рассмотрены такие аспекты энтерального питания (ЭП) у больных, находящихся в отделениях реанимации и интенсивной терапии (ОРИТ), как состав, компоненты, способы доставки, осложнения ЭП.

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“…Truth number 9: monitoring: do not measure gastric residual volume Gastric residue measurement has been rechallenged recently [21], and this procedure does not seem to improve outcome (no decrease in ventilator-associated pneumonia or length of stay). Early enteral feeding gradually reaching targets over the first 72 h is recommended.…”

Section: Truth Number 8: Blood Glucose Should Be Controlled Conventimentioning

confidence: 99%

The truth about nutrition in the ICU

2013

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Effect of Not Monitoring Residual Gastric Volume on Risk of Ventilator-Associated Pneumonia in Adults Receiving Mechanical Ventilation and Early Enteral Feeding

Cited by 97 publications

References 1 publication

Head-of-Bed Elevation and Early Outcomes of Gastric Reflux, Aspiration and Pressure Ulcers: A Feasibility Study

Head-of-Bed Elevation and Early Outcomes of Gastric Reflux, Aspiration and Pressure Ulcers: A Feasibility Study

Enteral Nutrition After Advadvanced Combined Operative Interventions in Oncosurgery

The truth about nutrition in the ICU

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