Volume 30, Issue 110 (February 2018)                   IJN 2018, 30(110): 58-67 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Rezae J, Kadivarian H, Abdi A, Rezae M, Karimpour K, Rezae S. The Effect of Body Position on Gavage Residual Volume of Gastric in Intensive Care Units Patients. IJN. 2018; 30 (110) :58-67
URL: http://ijn.iums.ac.ir/article-1-2590-en.html
MS in nursing, Students Research Committee, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran. (*Corresponding author) Tel: 989183559728 Email: hkadivarian@gmail.com
Abstract:   (2772 Views)
Abstract
Background & Aim: Malnutrition is experienced by most of the intensive care unit patients, which causes poor prognosis and worsens the disease. Gastric residual volume represents the status of food tolerate. Regarding some controversies and lack of information on the effect of body position on this issue, the current study was conducted to determine the effect of body position on gavage residual volume of gastric in patients of intensive care units.
Materials & Methods: In a clinical trial study in 2014, 90 intensive care patients with enteral feeding were recruited to the study from educational hospital of Kermanshah University of Medical Sciences. The patients were allocated to three groups randomly. The gavage was done for each group in three positions, i.e. back, right, and left. Subsequently, gastric residual contents were measured before, two, and three hours after the three positions. The data were recorded in a researcher-provided checklist. They were analyzed by SPSS-18 software, using descriptive and inferential statistics.
Results: In this study, the lowest rate of GRC among the three groups was related to right side position, which was measured at 18.3 cc and 2.06 cc in 2 and 3 hours after gavage, respectively; and there was a significant difference between the right side GRC in comparison with the left and back positions (P < 0.05).
Conclusion: In this study, the best position after gavage was right. Hence, it is suggested this topic after gavage will be considered for reducing malnutrition and rising the food tolerance.
Full-Text [PDF 711 kb]   (2783 Downloads)    

Received: 2017/11/18 | Accepted: 2018/02/15 | Published: 2018/02/15

References
1. Thibault R, Pichard C. Nutrition and clinical outcome in intensive care patients. Curr Opin Clin Nutr Metab Care. 2010;13(2):177-83. [DOI:10.1097/MCO.0b013e32833574b9]
2. Coltman A, Peterson S, Roehl K, Roosevelt H, Sowa D. Use of 3 tools to assess nutrition risk in the intensive care unit. J Parenter Enteral Nutr. 2015;39(1):28-33. [DOI:10.1177/0148607114532135]
3. Doig GS, Heighes PT, Simpson F, Sweetman EA, Davies AR. Early enteral nutrition, provided within 24 h of injury or intensive care unit admission, significantly reduces mortality in critically ill patients: a meta-analysis of randomised controlled trials. Intensive Care Med. 2009;35(12):2018-27. [DOI:10.1007/s00134-009-1664-4]
4. Heidegger CP, Berger MM, Graf S, Zingg W, Darmon P, Costanza MC, et al. Optimisation of energy provision with supplemental parenteral nutrition in critically ill patients: a randomised controlled clinical trial. The Lancet. 2013;381(9864):385-93. [DOI:10.1016/S0140-6736(12)61351-8]
5. Lewis SJ, Andersen HK, Thomas S. Early enteral nutrition within 24 h of intestinal surgery versus later commencement of feeding: a systematic review and meta-analysis. J Gastrointest Surg. 2009;13(3):569. [DOI:10.1007/s11605-008-0592-x]
6. Haddad SH, Arabi YM. Critical care management of severe traumatic brain injury in adults. Scand J Trauma Resusc Emerg Med. 2012;20(1):12. [DOI:10.1186/1757-7241-20-12]
7. O'meara D, Mireles-Cabodevila E, Frame F, Hummell AC, Hammel J, Dweik RA, et al. Evaluation of delivery of enteral nutrition in critically ill patients receiving mechanical ventilation. Am J Crit Care. 2008;17(1):53-61.
8. Fulbrook P, Bongers A, Albarran JW. A European survey of enteral nutrition practices and procedures in adult intensive care units. J Clin Nurs. 2007;16(11):2132-41. [DOI:10.1111/j.1365-2702.2006.01841.x]
9. Martindale RG, McClave SA, Vanek VW, McCarthy M, Roberts P, Taylor B, et al. Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition: Executive Summary. Crit Care Med. 2009;37(5):1757-61. [DOI:10.1097/CCM.0b013e3181a40116]
10. Singer P, Berger MM, Van den Berghe G, Biolo G, Calder P, Forbes A, et al. ESPEN guidelines on parenteral nutrition: intensive care. Clin Nutr. 2009;28(4):387-400. [DOI:10.1016/j.clnu.2009.04.024]
11. McClave SA, Martindale RG, Vanek VW, McCarthy M, Roberts P, Taylor B, et al. Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient. J Parenter Enteral Nutr. 2009;33(3):277-316. [DOI:10.1177/0148607109335234]
12. Reignier J, Mercier E, Le Gouge A, Boulain T, Desachy A, Bellec F, et al. 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. JAMA. 2013;309(3):249-56. [DOI:10.1001/jama.2012.196377]
13. Montejo J, Minambres E, Bordeje L, Mesejo A, Acosta J, Heras A, et al. Gastric residual volume during enteral nutrition in ICU patients: the REGANE study. Intensive Care Med. 2010;36(8):1386-93. [DOI:10.1007/s00134-010-1856-y]
14. Marino PL. Marino's the ICU Book. Lippincott Williams & Wilkins; 2013.
15. Landzinski J, Kiser TH, Fish DN, Wischmeyer PE, MacLaren R. Gastric motility function in critically ill patients tolerant vs intolerant to gastric nutrition. J Parenter Enteral Nutr. 2008;32(1):45-50. [DOI:10.1177/014860710803200145]
16. Davies AR. Gastric residual volume in the ICU: can we do without measuring it? J Parenter Enteral Nutr. 2010;34(2):160-2. [DOI:10.1177/0148607109357626]
17. Parrish CR, McClave SA. Checking gastric residual volumes: a practice in search of science. Pract Gastroenterol. 2008;67:33-43.
18. Chen S-S, Tzeng Y-L, Gau B-S, Kuo P-C, Chen J-Y. Effects of prone and supine positioning on gastric residuals in preterm infants: a time series with cross-over study. Int J Nurs Stud. 2013;50(11):1459-67. [DOI:10.1016/j.ijnurstu.2013.02.009]
19. Hussein HA. The Difference between Right Side and Semi Recumbent Positions after Feeding on Gastric Residual Volume among Infants. J Am Sci. 2012;8(1):127-32.
20. Corvaglia L, Rotatori R, Ferlini M, Aceti A, Ancora G, Faldella G. The effect of body positioning on gastroesophageal reflux in premature infants: evaluation by combined impedance and pH monitoring. The Journal of pediatrics. 2007;151(6):591-6. e1.
21. van der Voort PH, Zandstra DF. Enteral feeding in the critically ill: comparison between the supine and prone positions: a prospective crossover study in mechanically ventilated patients. Critical Care. 2001;5(4):216. [DOI:10.1186/cc1026]
22. Lucchini A, Bonetti I, Borrelli G, Calabrese N, Volpe S, Gariboldi R, et al. Enteral nutrition during prone positioning in mechanically ventilated patients. Assistenza infermieristica e ricerca: AIR. 2017;36(2):76-83.
23. Elpern EH, Stutz L, Peterson S, Gurka DP, Skipper A. Outcomes associated with enteral tube feedings in a medical intensive care unit. Am J Crit Care. 2004;13(3):221-7.
24. Williams TA, Leslie GD. A review of the nursing care of enteral feeding tubes in critically ill adults: part I. Intensive Crit Care Nurs. 2004;20(6):330-43. [DOI:10.1016/j.iccn.2004.08.002]
25. Johnson AD. Assessing gastric residual volumes. Crit Care Nurse. 2009;29(5):72-3. [DOI:10.4037/ccn2009582]
26. MacLaren R, Kiser TH, Fish DN, Wischmeyer PE. Erythromycin vs metoclopramide for facilitating gastric emptying and tolerance to intragastric nutrition in critically ill patients. J Parenter Enteral Nutr. 2008;32(4):412-9. [DOI:10.1177/0148607108319803]
27. Bourgault AM, Ipe L, Weaver J, Swartz S, O'Dea PJ. Development of evidence-based guidelines and critical care nurses' knowledge of enteral feeding. Crit Care Nurse. 2007;27(4):17-29.
28. Reignier J, Dimet J, Martin-Lefevre L, Bontemps F, Fiancette M, Clementi E, et al. Before–after study of a standardized ICU protocol for early enteral feeding in patients turned in the prone position. Clin Nutr. 2010;29(2):210-6. [DOI:10.1016/j.clnu.2009.08.004]
29. Elser HE. Positioning after feedings: what is the evidence to reduce feeding intolerances? Adv Neonatal Care. 2012;12(3):172-5. [DOI:10.1097/ANC.0b013e318256b7c1]
30. Cohen S, Mandel D, Mimouni FB, Solovkin L, Dollberg S. Gastric residual in growing preterm infants: effect of body position. Am J Perinatol. 2004;21(03):163-6. [DOI:10.1055/s-2004-823778]
31. Hwang SK, Ju HO, Kim YS, Lee HZ, Kim YH. Effects of body position and time after feeding on gastric residuals in LBW infants. Journal of Korean Academy of Nursing. 2003;33(4):488-94 [DOI:10.4040/jkan.2003.33.4.488]

Add your comments about this article : Your username or Email:
CAPTCHA

© 2015 All Rights Reserved | Iran Journal of Nursing

Designed & Developed by : Yektaweb