Use of gastric residual volume to guide enteral nutrition in critically ill patients: A brief systematic review of clinical studies

Kuppinger, David; Rittler, P.; Hartl, Wolfgang H.; Rüttinger, Dominik

doi:10.1016/j.nut.2013.01.025

Cited by 66 publications

(69 citation statements)

References 32 publications

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“…We did not formally appraise the quality of these papers, as our aim was to describe the definition and use of the term feeding intolerance. A further 32 papers were review or discussion papers [n = 6] [2, 6,13,18,46,47], surveys [n = 5] [16,40,41,43,44], research papers which support this review but are not included in papers which defined feeding intolerance [n = 19] [3, 8, 11, 12, 14, 15, 17, 24, 25, 27, 30-32, 36, 38, 39, 42, 49], and guidelines [n = 2] [4,26] where feeding intolerance was mentioned or discussed.…”

Section: Resultsmentioning

confidence: 99%

A review of feeding intolerance in critically ill children

Tume

Valla

2018

Eur J Pediatr

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Ensuring optimal nutrition is vital in critically ill children and enteral feeding is the main route of delivery in intensive care. Feeding intolerance is the most commonly cited reason amongst pediatric intensive care unit healthcare professionals for stopping or withholding enteral nutrition, yet the definition for this remains inconsistent, nebulous, and entirely arbitrary. Not only does this pose problems clinically, but research in this field frequently uses feeding intolerance as an endpoint and the heterogeneity in this definition makes the comparison of studies difficult and meta-analysis impossible. We reviewed the use of, and definitions of, the term feed intolerance in pediatric intensive care research papers in the last 20 years. Gastric residual volume remains the most common factor used to define feed intolerance, despite the lack of evidence for this. Healthcare professionals would benefit from further education to improve their awareness of the limitations of the markers to define feeding intolerance, and the international PICU community needs to agree a consistent definition of this phenomenon to improve consistency in both practice and research.Conclusion: This paper will provide a narrative review of the definitions of, evidence for, and markers of feeding intolerance in critically ill children.

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Section: Resultsmentioning

confidence: 99%

A review of feeding intolerance in critically ill children

Tume

Valla

2018

Eur J Pediatr

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“…GRVs of 200 mL and 250 mL are frequently cited values for initial concern. [20][21][22] Prokinetics are sometimes advocated to improve gastric emptying when GRVs exceed a stipulated value. Several sources 6,11,23 recommend that feedings not be interrupted until GRVs exceed 500 mL.…”

Section: Assess For Gastrointestinal Intolerance To Tube Feedingsmentioning

confidence: 99%

Prevention of Aspiration in Adults

2016

Critical Care Nurse

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“…After 2 hours of rest without enteral nutrition, feeding is reintroduced at 25% less volume than before. In 2013 a review of six studies examining the use of GRV in human patients revealed that this practice appeared to be unnecessary as an aid in guiding nutrition in ventilated patients (Kuppinger et al, 2013). Based on a single surgical study, the authors suggested that maintaining a low GRV may however be of benefit in human surgical patients (Kuppinger et al, 2013).…”

Section: Gastric Residual Volumementioning

confidence: 99%

Early enteral nutrition in puppies with parvovirus enteritis

Schoor¹,

Schoeman²

2014

The Veterinary Nurse

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Canine parvovirus (CPV) enteritis is an important cause of severe, often fatal enteritis in dogs. Survival rates can be as high as 90% when puppies receive intensive treatment at tertiary veterinary facilities. No disease-specific therapies exist and treatment consists of supportive therapies. These therapies include intensive fluid therapy, antibiotic therapy, anti-emetic therapy and analgesic therapy. Anthelminthic therapy is added to eliminate possible concurrent verminosis. One supportive measure which was found to be associated with more rapid clinical improvement in canine parvovirus enteritis is the early implementation of enteral nutrition. This article reviews the research findings in various aspects of early enteral nutrition in both human and animal critical care. Different naso-enteric feeding devices are compared and various feeding methods for the various clinical scenarios encountered with canine parvovirus enteritis are briefly discussed. The concept of gastric residual volume and its potential role in early enteral nutrition is evaluated. The authors' view on how these research findings can be practically applied to treat puppies with canine parvovirus enteritis is presented. A detailed description is given on the decision making process in early enteral nutrition in a tertiary facility treating puppies with canine parvovirus enteritis.

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Use of gastric residual volume to guide enteral nutrition in critically ill patients: A brief systematic review of clinical studies

Cited by 66 publications

References 32 publications

A review of feeding intolerance in critically ill children

A review of feeding intolerance in critically ill children

Prevention of Aspiration in Adults

Early enteral nutrition in puppies with parvovirus enteritis

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