2009
DOI: 10.1177/0884533609332176
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Methods for the Assessment of Gastric Emptying in Critically Ill, Enterally Fed Adults

Abstract: Critically ill patients may experience delayed gastric emptying. Patients receiving enteral feeding are monitored closely to detect a delay of gastric emptying, assess feeding tolerance, and prevent aspiration pneumonia. The most common practice for assessing gastric emptying is to measure the aspirated gastric residual volume; however, this is an unreliable method that lacks standardization, fails to differentiate normal digestive secretions from enteral formula, and results in unnecessary interruptions of en… Show more

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Cited by 49 publications
(37 citation statements)
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References 54 publications
(106 reference statements)
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“…Moreira and McQuiggan [7] recently reviewed methods for assessing gastric emptying. The authors explained that the rationale for monitoring GRVs was based on the belief that this represented a delay in gastric emptying.…”
Section: Methods For Assessment Of Gastric Emptying In the Criticallymentioning
confidence: 99%
“…Moreira and McQuiggan [7] recently reviewed methods for assessing gastric emptying. The authors explained that the rationale for monitoring GRVs was based on the belief that this represented a delay in gastric emptying.…”
Section: Methods For Assessment Of Gastric Emptying In the Criticallymentioning
confidence: 99%
“…Despite the insufficiency of the evidence supporting the interruption of feeding, feeding of patients was generally interrupted in clinical practice due to GRV excess, and only 43%-64% of patients reach the targeted calorie amount (Adam & Batson, 1997;Heyland et al, 1995Heyland et al, , 2003McClave et al, 1999;Mentec et al, 2001;Montejo, 1999Montejo, , 2010Moreira & McQuiggan, 2009). Instead of discontinuing feeding due to gastric intolerance, the use of prokinetic medications was suggested to increase the gastric emptying rate (Bourgault et al, 2007;Deane et al, 2007;Fruhwald et al, 2007;Heyland et al, 2003;McClave et al, 1999;Nguyen et al, 2007;Stroud et al, 2003).…”
Section: Introductionmentioning
confidence: 98%
“…The most commonly used method is GRV measurement, one of the most important indications of gastric intolerance (Johnson, 2009;McClave & Snider, 2002;Montejo et al, 2010;Moreira & McQuiggan, 2009;Stroud et al, 2003). In addition to GRV measurement, the occurrence of abdominal distension and vomiting should be monitored (Martin et al, 2004;Montejo, 1999).…”
Section: Introductionmentioning
confidence: 99%
“…44 However, measurement of GRV can be subjective, and little evidence supports or indicates an acceptable residual volume. 40,44,45 Some investigators [46][47][48][49] have suggested that the clinical utility of GRV measurements is limited. In a study 50 in 205 patients treated with mechanical ventilation who were receiving enteral nutrition, adverse events such as ventilator-associated pneumonia and vomiting did not differ between patients in whom GRV purposely was not measured and patients in whom GRV was measured.…”
Section: Administration Of Enteral Nutrition and Pressure Ulcersmentioning
confidence: 99%