Measuring gastric residual volumes in critically ill burn patients - A systematic review
Copyright © 2018 Elsevier Ltd and ISBI. All rights reserved..
PURPOSE: Measuring gastric residual volumes (GRV) is common in intensive care units (ICU) in patients receiving enteral nutrition (EN) and are a common source of feeding interruptions. Interruptions in EN yield adverse outcomes and are an area of improvement in burn care. The objectives of this study are to summarize the literature's ICU GRV practices and offer practical suggestions to GRV management in the burn patient.
METHODS: PubMed, SCOPUS, and OvidSP Medline were systematically reviewed using the keywords: burns; thermal injury; gastric residual volume; enteral feeding; tube feeding; enteral nutrition; gastric intolerance; ICU; critical illness. Reviews, case reports, and consensus and opinion papers were excluded.
RESULTS: 26 articles were identified. Six burn-specific studies were identified. GRV practices vary widely and are a common cause of EN interruption. Elevated GRVs do not equate to gastrointestinal intolerance and do not always reflect aspiration risk.
CONCLUSIONS: We advocate a GRV threshold of 500mL should be used to optimize the benefits of EN in burn ICUs. A single incident of elevated GRVs should not mandate immediate EN rate reduction or cessation but should prompt a thoughtful examination of secondary causes of gastrointestinal intolerance. Randomized controlled trials are needed to define the ideal GRV threshold and re-evaluate its role in burn care.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2019 |
|---|---|
| Erschienen: |
2019 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:45 |
|---|---|
| Enthalten in: |
Burns : journal of the International Society for Burn Injuries - 45(2019), 3 vom: 21. Mai, Seite 509-525 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Pham, C H [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Burns |
|---|
| Anmerkungen: |
Date Completed 24.01.2020 Date Revised 24.01.2020 published: Print-Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1016/j.burns.2018.05.011 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM285587447 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM285587447 | ||
| 003 | DE-627 | ||
| 005 | 20231225045751.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231225s2019 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1016/j.burns.2018.05.011 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n0951.xml |
| 035 | |a (DE-627)NLM285587447 | ||
| 035 | |a (NLM)29914737 | ||
| 035 | |a (PII)S0305-4179(18)30386-3 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Pham, C H |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Measuring gastric residual volumes in critically ill burn patients - A systematic review |
| 264 | 1 | |c 2019 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 24.01.2020 | ||
| 500 | |a Date Revised 24.01.2020 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2018 Elsevier Ltd and ISBI. All rights reserved. | ||
| 520 | |a PURPOSE: Measuring gastric residual volumes (GRV) is common in intensive care units (ICU) in patients receiving enteral nutrition (EN) and are a common source of feeding interruptions. Interruptions in EN yield adverse outcomes and are an area of improvement in burn care. The objectives of this study are to summarize the literature's ICU GRV practices and offer practical suggestions to GRV management in the burn patient | ||
| 520 | |a METHODS: PubMed, SCOPUS, and OvidSP Medline were systematically reviewed using the keywords: burns; thermal injury; gastric residual volume; enteral feeding; tube feeding; enteral nutrition; gastric intolerance; ICU; critical illness. Reviews, case reports, and consensus and opinion papers were excluded | ||
| 520 | |a RESULTS: 26 articles were identified. Six burn-specific studies were identified. GRV practices vary widely and are a common cause of EN interruption. Elevated GRVs do not equate to gastrointestinal intolerance and do not always reflect aspiration risk | ||
| 520 | |a CONCLUSIONS: We advocate a GRV threshold of 500mL should be used to optimize the benefits of EN in burn ICUs. A single incident of elevated GRVs should not mandate immediate EN rate reduction or cessation but should prompt a thoughtful examination of secondary causes of gastrointestinal intolerance. Randomized controlled trials are needed to define the ideal GRV threshold and re-evaluate its role in burn care | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Systematic Review | |
| 650 | 4 | |a Burns | |
| 650 | 4 | |a Critical care | |
| 650 | 4 | |a Gastric residual volume | |
| 650 | 4 | |a Plastic surgery | |
| 650 | 4 | |a Thermal injuries | |
| 700 | 1 | |a Collier, Z J |e verfasserin |4 aut | |
| 700 | 1 | |a Garner, W L |e verfasserin |4 aut | |
| 700 | 1 | |a Kuza, C M |e verfasserin |4 aut | |
| 700 | 1 | |a Gillenwater, T J |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Burns : journal of the International Society for Burn Injuries |d 1992 |g 45(2019), 3 vom: 21. Mai, Seite 509-525 |w (DE-627)NLM01260268X |x 1879-1409 |7 nnns |
| 773 | 1 | 8 | |g volume:45 |g year:2019 |g number:3 |g day:21 |g month:05 |g pages:509-525 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1016/j.burns.2018.05.011 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 45 |j 2019 |e 3 |b 21 |c 05 |h 509-525 | ||