To return or to discard? Randomised trial on gastric residual volume management

Autor: Avelina Carreño-Granero, Gemma Martínez-Estalella, Carmen-Maria Domingo-Felici, Maria-Eulàlia Juvé-Udina, Joan Llusa-Finestres, Gemma Asensio-Malo, David Monterde-Prat, Consol Valls-Miró
Přispěvatelé: Universitat de Barcelona
Předmět:
Male
medicine.medical_specialty
Critical Care
Vital signs
Suction
Critical Care Nursing
Infermeria basada en l'evidència
Statistics
Nonparametric
law.invention
Clinical Nursing Research
Enteral Nutrition
Randomized controlled trial
Evidence-based nursing
law
Internal medicine
Intensive care
medicine
Humans
Prospective Studies
Prospective cohort study
Intensive care medicine
Gastrointestinal system diseases
Intubation
Gastrointestinal
Nursing Assessment
Analysis of Variance
Chi-Square Distribution
Gastric emptying
business.industry
Clinical study design
Intestinal absorption
Decision Trees
Respiratory Aspiration
Middle Aged
Absorció intestinal
Malalties del tracte gastrointestinal
Clinical trial
Treatment Outcome
Gastric Emptying
Hyperglycemia
Hyperkalemia
Equipment Failure
Female
business
Chi-squared distribution
Algorithms
Zdroj: Recercat. Dipósit de la Recerca de Catalunya
instname
Dipòsit Digital de la UB
Universidad de Barcelona
Popis: Summary Background The control of gastric residual volume (GRV) is a common nursing intervention in intensive care; however the literature shows a wide variation in clinical practice regarding the management of GRV, potentially affecting patients’ clinical outcomes. The aim of this study is to determine the effect of returning or discarding GRV, on gastric emptying delays and feeding, electrolyte and comfort outcomes in critically ill patients. Method A randomised, prospective, clinical trial design was used to study 125 critically ill patients, assigned to the return or the discard group. Main outcome measure was delayed gastric emptying. Feeding outcomes were determined measuring intolerance indicators, feeding delays and feeding potential complications. Fluid and electrolyte measures included serum potassium, glycaemia control and fluid balance. Discomfort was identified by significant changes in vital signs. Results Patients in both groups presented similar mean GRV with no significant differences found (p = 0.111), but participants in the intervention arm showed a lower incidence and severity of delayed gastric emptying episodes (p = 0.001). No significant differences were found for the rest of outcome measurements, except for hyperglycaemia. Conclusions The results of this study support the recommendation to reintroduce gastric content aspirated to improve GRV management without increasing the risk for potential complications.
Databáze: OpenAIRE
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