Effects of ultrasound monitoring of gastric residual volume on feeding complications,caloric intake and prognosis of patients with severe mechanical ventilation

作     者：Xiao-Yan Xu Hui-Ping Xue Ming-Jun Yuan You-Rong Jin Chun-Xia Huang 

作者机构：Department of Emergency MedicineThe Affiliated Hospital of Nantong UniversityNantong 226001Jiangsu ProvinceChina 不详 Department of Emergency OutpatientNantong University Affiliated HospitalNantong 226001Jiangsu ProvinceChina 

出 版 物：《世界胃肠外科杂志:英文版(电子版)》 (World Journal of Gastrointestinal Surgery)

年 卷 期：2023年第15卷第8期

页      面：1719-1727页

核心收录：

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

基　　金：The study was conducted in accordance with the Declaration of Helsinki(as revised in 2013).The study was approved by the Ethics Committee of Affiliated Hospital of Nantong University(Approval No.2022015) 

主　　题：Gastric residual monitoring Mechanical ventilation Vomit Caloric intake Prognosis 

摘      要：BACKGROUND Monitoring of gastric residual is an important approach for assessing gastric emptying in patients with mechanical *** monitoring gastric contents,the enteral nutrition scheme can be adjusted in time to ensure feeding *** To investigate the effects of ultrasound monitoring on the incidence of feeding complications,daily caloric intake and prognosis of patients with severe mechanical *** analyze the clinical significance of ultrasound monitoring of gastric residual volume(GRV)up to 250 mL to provide a theoretical basis for clinical *** Patients admitted to the department of emergency medicine of the Affiliated Hospital of Nantong University from January 2018 to June 2022 who received invasive mechanical ventilation and continuous enteral nutrition support within 24-48 h after admission were enrolled in this *** records for patients within 7 d of hospitalization were retrospectively analyzed to compare the incidence of feeding complications,daily caloric intake and clinical prognosis between patients with gastric residual≥250 mL and250 mL,as monitored by ultrasound on the third *** A total of 513 patients were enrolled in this *** of abdominal distension,diarrhea,and vomiting in the250 mL and≥250 mL groups were:18.4%vs 21.0%,23.9%vs 32.3%and 4.0%vs 6.5%,respectively;mortality rates were 20.8%vs 22.65%;mechanical ventilation durations were 18.30 d vs 17.56 d while lengths of stay in the intensive care units(ICU)were 19.87 d vs 19.19±5.19 *** in the above factors between groups were not *** residual≥250 mL was not an independent risk factor for death and prolonged ICU ***,target feeding time of patients in the≥250 mL group was longer than that of patients in the≥250 mL group,and caloric intake(22.0,23.6,24.8,25.3 kcal/kg/d)for patients in the≥250 mL group from the 4^(th) day to the 7^(th) day of hospitalization was lower than that of patients in the≥2