OBJECTIVE: The purpose of this literature review is to examine the effect of the interaction between gastrointestinal motility and feeding site on the aspiration risk in critically ill, tube-fed patients. METHODS AND RESULTS: A single answer to the question of the preferred feeding site is not likely to be found because the degree of aspiration risk varies significantly according to individual variations in gastrointestinal motility and multiple pre-existing and treatment-related risk factors. However, regardless of the feeding site, it is ultimately regurgitated gastric contents that are aspirated into the lungs. For this reason, the clinical assessment of greatest interest is the evaluation of gastric emptying, usually monitored clinically by measuring gastric residual volumes. CONCLUSION: Current recommendations for monitoring residual volumes and preventing aspiration are provided.
OBJECTIVE: The purpose of this literature review is to examine the effect of the interaction between gastrointestinal motility and feeding site on the aspiration risk in critically ill, tube-fed patients. METHODS AND RESULTS: A single answer to the question of the preferred feeding site is not likely to be found because the degree of aspiration risk varies significantly according to individual variations in gastrointestinal motility and multiple pre-existing and treatment-related risk factors. However, regardless of the feeding site, it is ultimately regurgitated gastric contents that are aspirated into the lungs. For this reason, the clinical assessment of greatest interest is the evaluation of gastric emptying, usually monitored clinically by measuring gastric residual volumes. CONCLUSION: Current recommendations for monitoring residual volumes and preventing aspiration are provided.
Authors: J C Montejo; E Miñambres; L Bordejé; A Mesejo; J Acosta; A Heras; M Ferré; F Fernandez-Ortega; C I Vaquerizo; R Manzanedo Journal: Intensive Care Med Date: 2010-03-16 Impact factor: 17.440
Authors: Sibel Büyükçoban; Mert Akan; Uğur Koca; Merih Yıldız Eğlen; Meltem Çiçeklioğlu; Ömür Mavioğlu Journal: Turk J Anaesthesiol Reanim Date: 2016-10-01
Authors: Job P van Kooten; Nadine L de Boer; Marjolein Diepeveen; Cornelis Verhoef; Jacobus W A Burger; Alexandra R M Brandt-Kerkhof; Eva V E Madsen Journal: Pleura Peritoneum Date: 2021-03-24