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
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