以质量求发展，以服务铸品牌

Journal of Nursing ›› 2019, Vol. 26 ›› Issue (5): 25-29.doi: 10.16460/j.issn1008-9969.2019.05.025

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Overviews of Reviews on Gastric Residual Volume Monitoring in ICU Patients with Enteral Nutrition Support

BU Fan-li1,2, LIANG Feng1,2, WANG Ke2, HUANG Qian2, PENG Nan-hai2   

  1. 1. Medical School of Nanjing University, Nanjing 210092, China;
    2. Research Institute of General Surgery,Jinling Hospital of PLA,Nanjing 210002, China
  • Received:2018-08-02 Published:2020-07-14

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Abstract: Objective To overview the systematic reviews/Meta-analysis of nursing of enteral nutrition (EN) support in ICU, to explore whether it is necessary to carry out the monitoring of gastric residual volume (GRV), and to provide reference for clinical decision-making of nursing staff. Methods Cochrane Library, EMBASE, PubMed, Web of Science, CNKI, and Wanfang Data were searched to collect SRs/MAs about GRV monitoring in ICU patients from the inception to April 2018, and the related systematic evaluation and Meta-analysis of GRV monitoring in EN support patients were searched. AMSTAR was used to evaluate the methodological quality of the included studies and outcome indicators were evaluated with the GRADE system. Results Seven systematic reviews were included in the Meta-analysis, and the overall quality of the included study was not high. Whether to monitor GRV or not exerted no effect on EN complications, ICU time and ICU mortality. Without routine GRV monitoring, patients' feeding intolerance and EN interruption were reduced. High GRV threshold can significantly increase EN intake. Conclusion The overall quality of the included studies is low, and it is not necessary to monitor GRV for patients with EN in ICU, but reasonable GRV threshold setting will benefit the patients. Due to the limited quantity and quality of the included studies, high quality studies are needed to confirm the reliability of the conclusion.

Key words: Intensive Care Unit, enteral nutrition, gastric residual volume, overviews of reviews

CLC Number: 

  • R151
[1] Tian F, Heighes P T, Allingstrup M J.Early Enteral Nutrition Provided With in 24 Hours of ICU Admission: A Meta-analysis of Randomized Controlled Trials[J]. Crit Care Med, 2018, 46(7):1049-1056. DOI:10.1097/CCM.0000000000003152.
[2] Reitnam Blaser A, Starkopf L, Deane A M, et al.Comparison of Different Definitions of Feeding Intolerance: A Retrospective Observational Study[J]. Clin Nutr, 2015,34(5):956-961. DOI:10.1016/j.clnu.2014.10.006.
[3] 周田田,王保荣,朱小芳,等.ICU脓毒症患者肠内营养喂养不耐受的相关因素分析[J].护理学报, 2017,24(16):6-9. DOI:10.16460/j.issn1008-9969.2017.16.006.
[4] McClave S A, Snider H L, Lowen C C, et al.Use of Residual Volume as a Marker for Enteral Feeding Intolerance: Prospective Blinded Comparison with Physical Examination and Radiographic Findings[J].JPEN J Parenter Enteral Nutr,1992,16(2):99-105.
[5] Rice T W.Gastric Residual Volume: End of an Era[J]. JAMA, 2013,309(3):283-284. DOI:10.1001/jama.2012.216616.
[6] McClave S A,Taylor B E,Martindale R G,et al.Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient: Society of Critical Care Medicine(SCCM) and American Society for Parenteral and Enteral Nutrition (ASPEN)[J]. JPEN J Parenter EnteralNutr,2016,40(2):159-211.DOI:10.1177/0148607115621863.
[7] Hunt H, Pollock A, Campbell P, et al.An Introduction to Overviews of Reviews: Planning A Relevant Research Question and Objective for an Overview[J]. Syst Rev, 2018, 7(1):39-48. DOI:10.1186/s13643-018-0695-8.
[8] Pollock M, Fernandes R M.Evaluation of AMSTAR to Assess the Methodological Quality of Systematic Reviews in Overviews of Reviews of Healthcare Interventions[J]. BMC Med Res Methodol,2017, 17(1):48-60.DOI:10.1186/s12874-017-0325-5.
[9] 袁金秋,刘雅莉,杨克虎,等.系统评价再评价纳入研究的质量评价方法调查[J].中国循证医学杂志,2012,12(2):238-242. DOI:10.3969/j.issn.1672-2531.2012.02.018.
[10] 王濯,沈梅芬.监测胃残余量在危重症患者肠内营养中应用效果的系统评价[J].护士进修杂志,2016,31(5):406-409. DOI:10.16821/j.cnki.hsjx.2016.05.009.
[11] 周松,王建宁,查丽玲,等.不监测胃残留量对ICU行肠内营养患者影响的系统评价[J].护理学杂志,2017,32(1):91-95.DOI:10.3870/j.issn.1001-4152.2017.01.091.
[12] 周松,王建宁,詹梦梅,等.不同胃残留量阈值设置对ICU行肠内营养患者影响的系统评价[J].中华临床营养杂志,2018,26(1):9-16.DOI:10.3760/cma.j.issn.1674-635X. 2018.01.002.
[13] McClave S A, Snider H L.Clinical Use of Gastric Residual Volumes as A Monitor for Patients on Enteral Tube Feeding[J]. JPEN J Parenter Enteral Nutr, 2002,26(6):S43-S49. DOI:10.1177/014860710202600607.
[14] Kuppinger D D, Rittler P, Hartl W H.Use of Gastric Residual Volume to Guide Enteral Nutrition in Critically Ill Patients: A Brief Systematic Review of Clinical Studies[J].Nutrition, 2013, 29(9):1075-1079.DOI:10.1016/j.nut.2013.01.025.
[15] Pham C H, Collier Z J, Garner W L,et al.Measuring Gastric Residual Volumes in Critically Ill Burn Patients - A Systematic Review[J].Burns,2018,S0305-4179(18):30386-3. DOI:10.1016/j.burns.2018.05.011.
[16] Kim H, Chang S J.Clinical Usefulness of Gastric Residual Volume as an Indicator to Provide Approximately Enteral Nutrition for Patients in Intensive Care Units: A Systematic Literature Review[J]. JKBNS,2014, 16(4):267-275. DOI: 10.7586/jkbns.2014.16.4.267.
[17] 米元元,沈月,黄海燕,等.ICU患者肠内营养并发腹泻证据汇总[J].护理学报,2017,24(21):58-66. DOI:10.16460/j.issn1008-9969.2017.21.058.
[18] Alberda C, Gramlich L, Jones N, et al.The Relationship between Nutritional Intake and Clinical Outcomes in Critically Ill Patients: Results of An International Multicenter Obser -vational Study[J]. Intensive Care Med,2009,35(10):1728-1737.DOI:10.1007/ s00134 -009-1567-4
[19] Heydari A, Emami Zeydi A.Is Gatric Residual Volume Monitoring in Critically Ill Patients Receiving Mechanical Ventilation an Evidence-based Practice?[J].Indian J Crit Care Med,2014,18(4):259-260.
[20] Elke G, Felbinger T W, Heyland D K.Gastric Residual Volume in Critically Ill Patients: A Dead Marker or Still Alive?[J].Nutr CAin Pract, 2015, 30(1):59-71.DOI:10.1177//1388453614562841.
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