The relationship of gastrointestinal complications and ventilator related status with gastric residual volume in intensive care patients
Aim: Our study aimed primarily to determine whether there was a relationship between total gastric residual volume (GRV) amounts and two different GRV thresholds and the development of gastrointestinal intolerance in patients on mechanical ventilation in the intensive care unit (ICU) and secondarily...
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Alanya Alaaddin Keykubat University
2021-08-01
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| Series: | Acta Medica Alanya |
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| Online Access: | https://dergipark.org.tr/tr/download/article-file/1535732 |
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| author | Dilek Destegül Muhammet Bayraktar Zeynep Yüksel Turhan Fazilet Şahin Kocaöz Mustafa Kaçmaz |
| author_facet | Dilek Destegül Muhammet Bayraktar Zeynep Yüksel Turhan Fazilet Şahin Kocaöz Mustafa Kaçmaz |
| author_sort | Dilek Destegül |
| collection | DOAJ |
| description | Aim: Our study aimed primarily to determine whether there was a relationship between total gastric residual volume (GRV) amounts and two different GRV thresholds and the development of gastrointestinal intolerance in patients on mechanical ventilation in the intensive care unit (ICU) and secondarily, to determine the effects of different GRV quantities on ventilator-related conditions (VAC).Methods: Seventy patients above the age of 18 who were scheduled to be fed with enteral nutrition (EN) for at least three days, were divided into two groups including 35 patients according to GRV threshold values of 250 ml and 500 ml. The total amounts of GRV of the patients who did not exceed any of the two GRV thresholds during the follow-up period of 72 hours were recorded and calculated. For all patients, necessary data was recorded and high gastric residual volume rates (HGRV), times to reach target calories, mean GRV amounts, abdominal distension, vomiting, diarrhea, VAC and infection-related ventilator-related complications (IVAC) were all observed.Results: Although there were statistically significant differences between the groups in terms of the HGRV rates and the HGRV rates exceeding the determined threshold values [p <0.05], there was no significant difference between the groups in terms of abdominal distension, vomiting, diarrhea, VAC and IVAC (p> 0.05).Conclusion: The results of this study suggest that measuring the amount of GRV in intensive care patients fed by EN via the nasogastric tube in order to decide on gastrointestinal motility function and to reduce the complication rate, is not necessary. |
| format | Article |
| id | doaj-art-159c2269ed9d49b0836a0efaafe1a8eb |
| institution | OA Journals |
| issn | 2587-0319 |
| language | English |
| publishDate | 2021-08-01 |
| publisher | Alanya Alaaddin Keykubat University |
| record_format | Article |
| series | Acta Medica Alanya |
| spelling | doaj-art-159c2269ed9d49b0836a0efaafe1a8eb2025-08-20T02:19:02ZengAlanya Alaaddin Keykubat UniversityActa Medica Alanya2587-03192021-08-015215716310.30565/medalanya.868948727The relationship of gastrointestinal complications and ventilator related status with gastric residual volume in intensive care patientsDilek Destegül0https://orcid.org/0000-0003-4363-6239Muhammet Bayraktar1https://orcid.org/0000-0002-2242-8046Zeynep Yüksel Turhan2https://orcid.org/0000-0002-8906-2149Fazilet Şahin Kocaöz3https://orcid.org/0000-0002-5418-6707Mustafa Kaçmaz4https://orcid.org/0000-0002-8655-3882NİĞDE T.C. SB. ÖMER HALİSDEMİR ÜNİVERSİTESİ EĞİTİM VE ARAŞTIRMA HASTANESİNİĞDE ÖMER HALİSDEMİR ÜNİVERSİTESİNİĞDE T.C. SB. ÖMER HALİSDEMİR ÜNİVERSİTESİ EĞİTİM VE ARAŞTIRMA HASTANESİNİĞDE ÖMER HALİSDEMİR ÜNİVERSİTESİNİĞDE ÖMER HALİSDEMİR ÜNİVERSİTESİAim: Our study aimed primarily to determine whether there was a relationship between total gastric residual volume (GRV) amounts and two different GRV thresholds and the development of gastrointestinal intolerance in patients on mechanical ventilation in the intensive care unit (ICU) and secondarily, to determine the effects of different GRV quantities on ventilator-related conditions (VAC).Methods: Seventy patients above the age of 18 who were scheduled to be fed with enteral nutrition (EN) for at least three days, were divided into two groups including 35 patients according to GRV threshold values of 250 ml and 500 ml. The total amounts of GRV of the patients who did not exceed any of the two GRV thresholds during the follow-up period of 72 hours were recorded and calculated. For all patients, necessary data was recorded and high gastric residual volume rates (HGRV), times to reach target calories, mean GRV amounts, abdominal distension, vomiting, diarrhea, VAC and infection-related ventilator-related complications (IVAC) were all observed.Results: Although there were statistically significant differences between the groups in terms of the HGRV rates and the HGRV rates exceeding the determined threshold values [p <0.05], there was no significant difference between the groups in terms of abdominal distension, vomiting, diarrhea, VAC and IVAC (p> 0.05).Conclusion: The results of this study suggest that measuring the amount of GRV in intensive care patients fed by EN via the nasogastric tube in order to decide on gastrointestinal motility function and to reduce the complication rate, is not necessary.https://dergipark.org.tr/tr/download/article-file/1535732enteral nutritioncomplicationscritical careenteral beslenmekomplikasyonlaryoğun bakım |
| spellingShingle | Dilek Destegül Muhammet Bayraktar Zeynep Yüksel Turhan Fazilet Şahin Kocaöz Mustafa Kaçmaz The relationship of gastrointestinal complications and ventilator related status with gastric residual volume in intensive care patients Acta Medica Alanya enteral nutrition complications critical care enteral beslenme komplikasyonlar yoğun bakım |
| title | The relationship of gastrointestinal complications and ventilator related status with gastric residual volume in intensive care patients |
| title_full | The relationship of gastrointestinal complications and ventilator related status with gastric residual volume in intensive care patients |
| title_fullStr | The relationship of gastrointestinal complications and ventilator related status with gastric residual volume in intensive care patients |
| title_full_unstemmed | The relationship of gastrointestinal complications and ventilator related status with gastric residual volume in intensive care patients |
| title_short | The relationship of gastrointestinal complications and ventilator related status with gastric residual volume in intensive care patients |
| title_sort | relationship of gastrointestinal complications and ventilator related status with gastric residual volume in intensive care patients |
| topic | enteral nutrition complications critical care enteral beslenme komplikasyonlar yoğun bakım |
| url | https://dergipark.org.tr/tr/download/article-file/1535732 |
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