英国重症监护室的胃残留体积监测实践:一个基于网络的调查
Bethan Jenkins1,2, Philip C Calder2,3, Luise V Marino2,3,4,5
1Department of Dietetics/SLT, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Journal of the Intensive Care Society
|May 13, 2024
概括
胃残留体积 (GRV) 监测在英国重症监护室 (ICU) 常见,以评估肠道食不耐受,尽管缺乏证据. 需要进一步的研究来评估其临床价值,并探索替代性不耐受性标志物.
科学领域:
- 关键护理医学 关键护理医学
- 胃肠病学 胃肠病学
- 临床营养学 临床营养学
背景情况:
- 监测胃残留体积 (GRV) 是重症监护病房 (ICU) 的常规做法,用于评估肠道食不耐受.
- 然而,目前的临床实践缺乏可靠的证据来支持GRV的常规测量.
研究的目的:
- 调查英国成人ICU中肠道养和GRV监测的现行做法.
- 确定用于高GRV的值及其对料的影响.
- 为未来的研究提供信息,以了解在ICU中GRV测量的临床实用性.
主要方法:
- 一个基于网络的调查分发给所有英国成年ICU.
- 该调查收集了有关营养评估,肠道食实践和GRV监测协议的数据.
- 它还询问了高高的GRV的管理情况.
主要成果:
- 98%的响应ICU经常测量GRV,其中86%使用它来定义食不耐受.
- 报告的GRV值差异很大 (200-1000毫升),测量频率也差异很大 (2-12小时).
- 亲动力药物是最常见的干预措施,52%的人根据GRV显著改变了养,但只有28%的人有监测指南.
结论:
- 在英国成人ICU中,GRV测量仍然是评估肠道食不耐症的主要方法.
- 尽管已知GRV的有效性和可重复性存在问题,但这种做法仍然存在.
- 进一步的研究是必不可少的,以确定GRV监测的好处,并确定肠道食不耐受性的优越标记.
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