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Monitoring enteral feeding tolerance in a critically ill patient using point-of-care ultrasound
Roberta Pereira Spala Neves1, Allan Peixoto de Assis1, Cesar Matias de Carvalho Russo1
1Hospital Central Aristarcho Pessoa. Rio de Janeiro, Rio de Janeiro, Brazil.
Objectives:
to describe the experience of using point-of-care ultrasound to monitor enteral nutrition tolerance in a critically ill patient.
Methods:
this is a nursing experience report on the use of bedside ultrasound to manage enteral feeding tolerance in an intensive care unit.
Results:
after unsuccessful attempts to optimize enteral nutrition, ultrasound-based monitoring of gastric volume revealed a significant delay in gastric emptying when gastric volume was compared to the administered feeding rate. This enabled early detection of gastroparesis and facilitated timely clinical decision-making for managing gastric intolerance.
Final Considerations:
this report highlights point-of-care ultrasound as a promising tool for monitoring enteral nutrition tolerance in critically ill patients and brings attention to the relevance of analyzing gastric volume in relation to the feeding rate.
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