Show Notes
Ever wonder what the evidence is behind measuring GRVs and withholding enteral nutrition at certain volumes? Rachel MS, RD, CNSC, CCTD gives an important overview of the current guidelines for GRVs and other approaches that can be used to assess and improve EN tolerance. This video is a great one to share with other members of your nutrition support care team, too!
References: 1. Montejo JC, Minambres E, Bordeje L, et al. Gastric residual volume dur-ing enteral nutrition in ICU patients: the REGANE study. Intensive Care Med. 2010;36(8):1386-1393.103. 2. Pinilla JC, Samphire J, Arnold C, Liu L, Thiessen B. Comparison of gastrointestinal tolerance to two enteral feeding protocols in critically ill patients: a prospective, randomized controlled trial. JPEN J Parenter Enteral Nutr. 2001;25(2):81-86.104. 3. McClave SA, DeMeo MT, DeLegge MH, etal. North American summit on aspiration in the critically ill patient: consensus statement. JPEN J Parenter Enteral Nutr. 2002;26(6):S80-S85 4. Powell KS, Marcuard SP, Farrior ES, Gallagher ML. Aspirating gastric residuals causes occlusion of small-bore feeding tubes. JPEN J Parenter Enteral Nutr. 1993;17(3):243-246.111. 5. Poulard F, Dimet J, Martin-Lefevre L, etal. Impact of not measuring residual gastric volume in mechanically ventilated patients receiving early enteral feeding: a prospective before-after study. JPEN J Parenter Enteral Nutr. 2010;34(2):125-130.112. 6. Reignier J, Mercier E, Le Gouge A, etal. Effect of not monitoring residual gastric volume on risk of ventilator-associated pneumonia in adults receiving mechanical ventilation and early enteral feeding: a randomized con-trolled trial. JAMA. 2013;309(3):249-256
Closed captions provided by Katie Gengozian RDN.
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