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http://dx.doi.org/10.7586/jkbns.2014.16.4.267

Clinical Usefulness of Gastric Residual Volume as An Indicator to Provide Approximately Enteral Nutrition for Patients in Intensive Care Units: A Systematic Literature Review  

Kim, Hyunjung (Department of Nursing, Hallym University)
Chang, Sun Ju (Department of Nursing Science, Chungbuk National University)
Publication Information
Journal of Korean Biological Nursing Science / v.16, no.4, 2014 , pp. 267-275 More about this Journal
Abstract
Purpose: The practice of enteral nutrition with gastric residual volumes (GRVs) as a clinical indicator is poorly standardized in intensive care units. This study aims to summarize the results from studies that evaluated the clinical outcomes related to the GRVs. Methods: This systematic review study analyzed 11 studies consisting of four randomized controlled trials, one non-randomized controlled trial, and six observational studies. Results: No consistent relationship between GRV thresholds and clinical outcomes was observed. Higher GRVs were not consistently correlated with clinical outcomes such as higher gastrointestinal complications, aspiration pneumonia, or mortality. Higher GRVs significantly generate complications more often. Findings show that a single GRV more than 200 mL or two consecutive GRVs more than 150 mL should raise concern about negative consequences. Conclusion: Critical care nurses need to monitor GRVs closely during their practice of enteral nutrition. For critically ill patients receiving enteral nutrition, a GRV threshold of 200 ml would be a desirable limit to provide safe and adequate nutrition with a conservative approach.
Keywords
Enteral nutrition; Intensive care units; Review;
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Times Cited By KSCI : 1  (Citation Analysis)
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1 Elpern, E. H., Stutz, L., Peterson, S., Gurka, D. P., & Skipper, A. (2004). Outcomes associated with enteral tube feeding in a medical intensive care unit. American Journal of Critical Care, 13(3), 221-227.
2 Ahmad, S., Le, V., Kaitha, S., Morton, J., & Ali, T. (2012). Nasogastric tube feedings and gastric residual volume: A regional survey. Southern Medical Journal, 105(8), 394-398. http://dx.doi.org/10.1097/SMJ.0b013e31825d9bef   DOI
3 Artinian, V., Krayem, H., & DiGiovine, B. (2006). Effects of early enteral feeding on the outcome of critically ill mechanically ventilated medical patients. Chest, 129(4), 960-967.   DOI   ScienceOn
4 Cho, K. S., Kim, H. K., Park, S. O., Bae, Y. S., Hwang, O. N., Kwon, B. E., et al. (2014). Medical surgical nursing (6th ed.). Seoul: Hyunmoonsa.
5 Chulay, M., & Burns, S. M. (2012). AACE essentials of critical care nursing (Kim, N. Y., Kim, Y. H., Kim. E. A., Ryu, S. A., Park, S. J., Yang, J. J., et al. trans.). Seoul: Hyunmoonsa. (Original work published 2009).
6 Dhaliwal, R., Cahill, N., Lemieux, M., & Heyland, D. K. (2014). The Canadian critical care nutrition guidelines in 2013: An update on current recommendations and implementation strategies. Nutrition in Clinical Practice, 29(1), 29-43. http://dx.dor.org/10.1177/0884533613510948   DOI   ScienceOn
7 Kim, H., Shin, J. A., Shin, J. Y., & Cho, O. M. (2010). Adequacy of nutritional support and reasons for underfeeding in neurosurgical intensive care unit patients. Asian Nursing Research, 4(2), 102-110. http://dx.doi.org/10.1016/S1976-1317(10)60010-2   과학기술학회마을   DOI
8 Kim, H., Stotts, N. A., Froelicher, E. S., Engler, M. M., & Porter, C. (2012). Why patients in critical care do not receive adequate enteral nutrition? A review of the literature. Journal of Critical Care, 27(6), 702-713. http://dx.doi.org/10.1016/j.jcrc.2012.07.019   DOI
9 Kollef, M. H. (2004). Prevention of hospital-associated pneumonia and ventilator-associated pneumonia. Critical Care Medicine, 32(6), 1396-1405. http://dx.doi.org/10.1097/01.ccm.0000128569.09113.fb   DOI
10 Korean Society for Parenteral and Enteral Nutrition. (2007). Guidelines of intensive nutritional support. Seoul: Korean Society for Parenteral and Enteral Nutrition.
11 McClave, S. A., Luka, J. K., Stefater, J. A., Lowen, C. C., Looney, S. W., Matheson, P. J., et al., (2005). Poor validity of residual volumes as a marker for risk of aspiration in critically ill patients. Critical Care Medicine, 33(2), 324-330. http://dx.doi.org/10.1097/01.ccm.0000153413.46627.3a   DOI
12 Law, M., Steward, D., Pollock, N., Letts, L., Bosch, J., & Westmoreland, M. (1998). Critical review form-Quantitative studies. Retrieved August 16, 2013 from http://www.srs-mcmaster.ca/Portals/20/pdf/ebp/quanreview_form1.doc
13 Lin, H. C., Van Citters, G. W. (1997). Stopping enteral feeding for arbitrary gastric residual volume may not be physiologically sound: Results of a computer simulation model. Journal of Parenteral and Enteral Nutrition, 21(5), 286-289. http://dx.doi.org/10.1177/0148607197021005286   DOI
14 Martin, C. M., Doiq, G. S., Heyland, D. K., Morrison, T., Sibbald, W. J., & Southwestern Ontraio Critical Care Research Network. (2004). Multicentre, cluster-randomized clinical trial of algorithms for critical-care enteral and parenteral therapy (ACCEPT). Canadian Medical Association Journal, 170(2), 197-204. http://dx.doi.org/10.1177/0115426504019003309
15 McClave, S. A., Martindale, R. G., Vanek, V. W., McCarthy, M., Roberts, R., Talyor, B., et al. (2009). Guidelines for the provision and assessment of nutrition support therapy in the adults critically ill patients: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.). Journal of Parenteral Enteral Nutrition, 33(3), 277-316. http://dx.doi.org/10.1177/0148607109335234   DOI   ScienceOn
16 McClave, S. A., & Snider, H. L. (1992). Use of indirect calorimetry in clinical nutrition. Nutrition in Clinical Practice, 7(5), 207-221. http://dx.doi.org/10.1177/0115426592007005207   DOI
17 Montejo, J. C., Minambres, E., Bordeje, L., Mesejo, A., Acosta, J., Heras, A., et al., (2010). Gastric residual volume during enteral nutrition in ICU patients: The REGAME study. Intensive Care Medicine, 36(8), 1386-1393. http://dx.doi.org/10.1007/s00134-010-1856-y   DOI
18 Mentec, H., Dopont, H., Bocchetti, M., Cani, P., Ponche, F., & Bleichner, G. (2001). Upper digestive intolerance during enteral nutrition in critically ill patients: Frequency, risk factors, and complications. Critical Care Medicine, 29(10), 1955-1961. http://dx.doi.org/10.1097/00003246-200110000-00018   DOI   ScienceOn
19 Metheny, N. A., Clouse, R. E., Chang, Y. H., Steward, B. J., Oliver, D. A., & Kollef, M. H. (2006). Tracheobronchial aspiration of gastric contents in critically ill tube-fed patients: Frequency, outcomes, and risk factors. Critical Care Medicine, 34(4), 1007-1015. http://dx.doi.org/10.1097/01.ccm.0000206106.65220.59   DOI
20 Metheny, N. A., Schallom, L., Oliver, D. A., & Clouse, R. E. (2008). Gastric residual volume and aspiration in critically ill patients receiving gastric feedings. American Journal of Critical Care, 17(6), 512-519.
21 Petros, S., & Engelmann, L. (2006). Enteral nutrition delivery and energy expenditure in medical intensive care patients. Clinical Nutrition, 25(1), 51-59. http://dx.doi.org/10.1016/j.clnu.2005.08.013   DOI   ScienceOn
22 Pinilla, J. C., Samphire, J., Arnold, C., Liu, L., & Thiessen, B. (2001). Comparison of gastrointestinal tolerance to two enteral feeding protocols in critically ill patients: A prospective, randomized controlled trial. Journal of Parenteral and Enteral Nutrition, 25(2), 81-86. http://dx.doi.org/10.1177/014860710102500281   DOI
23 Poulard, F., Dimet, J., Martin-Lefevre, L., Bontemps, F., Fiancette, M., Clementi, E., et al. (2010). Impact of not measuring residual gastric volume in mechanically ventilated patients receiving early enteral feeding: A prospective before-after study. Journal of Parenteral and Enteral Nutrition, 34(2), 125-130. http://dx.doi.org/10.1177/0148607109344745   DOI
24 Terekeci, H., Kucukardali, Y., Top, C., Onem, Y., Celik, S., & Oktenli, C. (2009). Risk assessment study of the pressure ulcers in intensive care unit patients. European Journal of Internal Medicine, 20(4), 394-397. http://dx.doi.org/10.1016/j.ejim.2008.11.001   DOI
25 Robert, S. R., Kennerly, D. A., Keane, D., & Geroge, C. (2003). Nutrition support in the intensive care unit: adequacy, timeliness, and outcomes. Critical Care Nurse, 23(6), 49-57.
26 Reignier, J., Mercier, E., Le Gouge, A., Boulain, T., Desachy, A., Bellec, F., et al. (2013). Effect of not monitoring residual gastric volume on risk of ventilator-associated pneumonia in adults receiving mechanical ventilation and early enteral feeding: A randomized controlled trial. The Journal of the American Medical Association, 309(3), 249-256. http://dx.doi.org/10.1001/jama.2012.196377   DOI
27 Soroksky, A., Lorber, J., Klinowski, E., Ilgayev, E., Mizrachi, A., Miller, A., et al. (2010). A simplified approach to the management of gastric residual volumes in critically ill mechanically ventilated patients: A pilot prospective cohort study. The Israel Medical Association Journal, 12(9), 543-548.
28 Yoo, S. Y., Kim, E. M., Cho, Y. Y., Ra, M. Y., Kim, J. Y., Jang, D. K., et al. (2010). Characteristics of ICU patients on enteral nutrition according to the gastric residual volume. Korean Journal of Parenteral and Enteral Nutrition, 3(1), 50-53.
29 Kim, K. S., Choi, Y. K., Choi, W. H., Ahn, J. W., Kim, J. A., Park, S. M., et al. (2012). Development of performance measures based on nursing process for fluid intake/output and tube care. Journal of Korean Clinical Nursing Research, 18(1), 13-28.