Routine gastric residual volume measurement and energy target achievement in the PICU : a comparison study

Tume, LN ORCID: https://orcid.org/0000-0002-2547-8209, Bickerdike, A, Latten, L, Davies, S, Lefèvre, MH, Nicolas, GW and Valla, FV 2017, 'Routine gastric residual volume measurement and energy target achievement in the PICU : a comparison study' , European Journal of Pediatrics, 176 (12) , pp. 1637-1644.

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Abstract

Critically ill children frequently fail to achieve adequate energy intake, and some care practices, such as the measurement of gastric residual volume (GRV), may contribute to this problem. We compared outcomes in two similar European Paediatric Intensive Care Units (PICUs): one which routinely measures GRV (PICU-GRV) to one unit that does not (PICU-noGRV). An observational pilot comparison study was undertaken. Eighty-seven children were included in the study, 42 (PICU-GRV) and 45 (PICU-noGRV). There were no significant differences in the percentage of energy targets achieved in the first 4 days of PICU admission although PICU-noGRV showed more consistent delivery of median (and IQR) energy targets and less under and over feeding for PICU-GRV and PICU-noGRV: day 1 37 (14–72) vs 44 (0–100), day 2 97 (53–126) vs 100 (100–100), day 3 84 (45–112) vs 100 (100–100) and day 4 101 (63–124) vs 100 (100–100). The incidence of vomiting was higher in PICU-GRV. No necrotising enterocolitis was confirmed in either unit, and ventilator-acquired pneumonia rates were not significantly different (7.01 vs 12 5.31 per 1000 ventilator days; p = 0.70) between PICU-GRV and PICU-noGRV units. Conclusions: The practice of routine gastric residual measurement did not significantly impair energy targets in the first 4 days of PICU admission. However, not measuring GRV did not increase vomiting, ventilator-acquired pneumonia or necrotising enterocolitis, which is the main reason clinicians cite for measuring GRV.

Item Type: Article
Schools: Schools > School of Health and Society > Centre for Applied Research in Health, Welfare and Policy
Journal or Publication Title: European Journal of Pediatrics
ISSN: 0340-6199
Related URLs:
Depositing User: USIR Admin
Date Deposited: 19 May 2020 07:22
Last Modified: 19 May 2020 08:00
URI: http://usir.salford.ac.uk/id/eprint/57059

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