Aspiration and Evaluation of Gastric Residuals in the Neonatal Intensive Care Unit State of the Science

被引：47
作者：
Parker, Leslie [1 ]
Torrazza, Roberto Murgas [2 ]
Li, Yuefeng [3 ]
Talaga, Elizabeth [4 ]
Shuster, Jonathan [5 ]
Neu, Josef [6 ]
机构：
[1] Univ Florida, Coll Nursing, Gainesville, FL 32610 USA
[2] Complejo Hosp Metropolitano Panama, Dept Neonatol, Panama City, Panama
[3] Baoan Matern & Child Hlth Hosp Shenzhen, Dept Neonatol, Shenzhen, Guangdong, Peoples R China
[4] UF Hlth Shands Childrens Hosp, Gainesville, FL USA
[5] Univ Florida, Coll Med, Dept Hlth Outcomes & Policy, Gainesville, FL USA
[6] Univ Florida, Div Neonatol, Dept Pediat, Gainesville, FL USA
来源：
JOURNAL OF PERINATAL & NEONATAL NURSING | 2015年 / 29卷 / 01期
关键词：
feeding; feeding tube; gastric residuals; neonatal intensive care unit; premature infant; VENTILATOR-ASSOCIATED PNEUMONIA; ENTERAL FEEDING ADVANCEMENT; CRITICALLY-ILL PATIENTS; BIRTH-WEIGHT INFANTS; NECROTIZING ENTEROCOLITIS; PRETERM INFANTS; RISK-FACTORS; PREMATURE-INFANTS; INSERTION LENGTH; NUTRITION;
D O I：
10.1097/JPN.0000000000000080
中图分类号：
R47 [护理学];
学科分类号：
1011 ;
摘要：
The routine aspiration of gastric residuals (GR) is considered standard care for critically ill infants in the neonatal intensive care unit (NICU). Unfortunately, scant information exists regarding the risks and benefits associated with this common procedure. This article provides the state of the science regarding what is known about the routine aspiration and evaluation of GRs in the NICU focusing on the following issues: (1) the use of GRs for verification of feeding tube placement, (2) GRs as an indicator of gastric contents, (3) GRs as an indicator of feeding intolerance or necrotizing enterocolitis, (4) the association between GR volume and ventilator-associated pneumonia, (5) whether GRs should be discarded or refed, (6) the definition of an abnormal GR, and (7) the potential risks associated with aspiration and evaluation of GRs. Recommendations for further research and practice guidelines are also provided.
引用
收藏
页码：51 / 59
页数：9
相关论文
共 78 条
  • [1] Erythromycin and feeding intolerance in premature infants: a randomized trial
    Aly, H.
    Abdel-Hady, H.
    Khashaba, M.
    El-Badry, N.
    [J]. JOURNAL OF PERINATOLOGY, 2007, 27 (01) : 39 - 43
  • [2] Arrowsmith H, 1993, Br J Nurs, V2, P1053
  • [3] Bankhead Robin, 2009, JPEN J Parenter Enteral Nutr, V33, P122, DOI 10.1177/0148607108330314
  • [4] The effect of an H2-receptor antagonist on small-bowel colonization and bacterial translocation in newborn rats
    Basaran, UN
    Celayir, S
    Eray, N
    Ozturk, R
    Senyuz, OF
    [J]. PEDIATRIC SURGERY INTERNATIONAL, 1998, 13 (2-3) : 118 - 120
  • [5] Beardsall K, 2003, ARCH DIS CHILD-FETAL, V88, P292
  • [6] Ben Aoun J, 2012, Tunis Med, V90, P72
  • [7] Necrotizing enterocolitis: An update
    Berman, Loren
    Moss, R. Lawrence
    [J]. SEMINARS IN FETAL & NEONATAL MEDICINE, 2011, 16 (03) : 145 - 150
  • [8] ENTERAL NUTRIENTS PROMOTE POSTNATAL MATURATION OF INTESTINAL MOTOR-ACTIVITY IN PRETERM INFANTS
    BERSETH, CL
    NORDYKE, C
    [J]. AMERICAN JOURNAL OF PHYSIOLOGY, 1993, 264 (06): : G1046 - G1051
  • [9] Necrotizing Enterocolitis: Risk Factor Analysis and Role of Gastric Residuals in Very Low Birth Weight Infants
    Bertino, Enrico
    Giuliani, Francesca
    Prandi, Giovanna
    Coscia, Alessandra
    Martano, Claudio
    Fabris, Claudio
    [J]. JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION, 2009, 48 (04) : 437 - 442
  • [10] Booker K J, 2000, Am J Crit Care, V9, P318
12345678