Xu XY, Xue HP, Yuan MJ, Jin YR, Huang CX. Effects of ultrasound monitoring of gastric residual volume on feeding complications, caloric intake and prognosis of patients with severe mechanical ventilation. World J Gastrointest Surg 2023; 15(8): 1719-1727 [PMID: 37701696 DOI: 10.4240/wjgs.v15.i8.1719]
Corresponding Author of This Article
Chun-Xia Huang, RN, Associate Chief Nurse, Department of Emergency Outpatient, Affiliated Hospital of Nantong University, No. 20 Xisi Road, Chongchuan District, Nantong 226001, Jiangsu Province, China. 1289811956@qq.com
Research Domain of This Article
Emergency Medicine
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Aug 27, 2023; 15(8): 1719-1727 Published online Aug 27, 2023. doi: 10.4240/wjgs.v15.i8.1719
Effects of ultrasound monitoring of gastric residual volume on feeding complications, caloric intake and prognosis of patients with severe mechanical ventilation
Xiao-Yan Xu, Department of Emergency Medicine, Affiliated Hospital of Nantong University, Nantong 226001, Jiangsu Province, China
Hui-Ping Xue, Ming-Jun Yuan, You-Rong Jin, Emergency Medical Intensive Care Unit, Affiliated Hospital of Nantong University, Nantong 226001, Jiangsu Province, China
Chun-Xia Huang, Department of Emergency Outpatient, Affiliated Hospital of Nantong University, Nantong 226001, Jiangsu Province, China
Author contributions: Xu XY designed research; Xue HP performed research; Yuan MJ contributed new reagents or analytic tools; Jin YR analyzed data; Huang CX and Xu XY wrote the paper.
Institutional review board statement: 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).
Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study.
Conflict-of-interest statement: The authors declare no conflicts of interest for this article.
Data sharing statement: Data sharing statement: Technical appendix, statistical code, and dataset available from the corresponding author at 1289811956@qq.com. Participants gave informed consent for data sharing.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Chun-Xia Huang, RN, Associate Chief Nurse, Department of Emergency Outpatient, Affiliated Hospital of Nantong University, No. 20 Xisi Road, Chongchuan District, Nantong 226001, Jiangsu Province, China. 1289811956@qq.com
Received: May 11, 2023 Peer-review started: May 11, 2023 First decision: May 31, 2023 Revised: June 8, 2023 Accepted: June 19, 2023 Article in press: June 19, 2023 Published online: August 27, 2023
ARTICLE HIGHLIGHTS
Research background
Gastric residual monitoring is considered an important way to evaluate gastric emptying in mechanically ventilated patients, but its correlation with adverse outcomes such as aspiration, ventilator-associated pneumonia, and feeding intolerance is controversial.
Research motivation
To analyze the impact of intervention with ultrasound monitoring of gastric residual volume (GRV) reaching 250mL on the incidence of feeding complications, daily calorie intake, and clinical prognosis in patients with severe mechanical ventilation.
Research objectives
To provide theoretical basis for clinical practice.
Research methods
Retrospective analysis method.
Research results
The use of ultrasound to monitor gastric residue and clinical intervention at monitoring value ≥ 250ml did not significantly affect the incidence of feeding complications and clinical prognosis of patients.
Research conclusions
This study suggests that ultrasound monitoring of gastric residue and clinical intervention when the monitoring value exceeds 250 mL have no significant impact on the incidence of complications and clinical prognosis of intensive care unit (ICU) patients. However, it significantly reduces the calorie intake of patients during ICU hospitalization, prolongs the time to reach feeding goals, increases the risk of insufficient nutrition, and affects patient prognosis.
Research perspectives
It is not recommended to judge the patient's feeding tolerance or estimate the impact on the patient's prognosis solely based on GRV in clinical practice.
