gastric residual volume n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Gastric Residual Volume PowerPoint Presentation
Download Presentation
Gastric Residual Volume

Loading in 2 Seconds...

play fullscreen
1 / 1

Gastric Residual Volume - PowerPoint PPT Presentation


  • 283 Views
  • Uploaded on

CAT Critically Appraised Topic . Ashley Maas SN, Jamie Siewert SN, Erica Wills SN Carroll University, Waukesha WI Collaborating ICU Practice Council Member: Pauline flood, BSN, RN Waukesha Memorial Hospital, Waukesha, WI.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Gastric Residual Volume' - loyal


Download Now An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
gastric residual volume

CAT

Critically Appraised Topic

Ashley Maas SN, Jamie Siewert SN, Erica Wills SN

Carroll University, Waukesha WI

Collaborating ICU Practice Council Member: Pauline flood, BSN, RN

Waukesha Memorial Hospital, Waukesha, WI

Is gastric residual volume (GRV) monitoring an effective predictor of risk and outcomes in critically ill, intubated patients receiving enteral tube feedings?

Measuring the GRV is not an effective predictor of risk and outcomes

in critically ill, intubated patients receiving enteral tube feedings based on evidence findings.

Gastric Residual Volume

PICO QUESTION:

Clinical Bottom Line:

(Metheny et al., 2008, pp. 516-517)

Comments on the Evidence:

Strengths:Reignier et al (2013) multi-site study with large sample size, reflecting 80% Power coupled with RCT methodology supports generalizability of findings. Although Methany et al (2010) uses a descriptive design, attention to confounding variables strengthens generalizability.

Limitations: Overall, there is a lack of empirical evidence examining the value of monitoring GRVs in critical ill patients and general quality of extant literature is lacking. The integrative review was identified by researchers as a systematic review, despite lack of rigor in methodology. Only one study reported conduct of a power analysis. Reliability and validity of measurement methods was not addressed by researchers.

Applicability: Patients who did not have continual GRV monitoring were found to achieve a greater caloric intake than those who did receive continual GRV monitoring. The absence of GRV monitoring was not found to be inferior to GRV monitoring regarding Ventilator-Associated Pneumonia (VAP), ICU/hospital length of stay (LOS), organ failure scores, and mortality rates. Continually monitoring GRV in tube fed patients takes focus away from more important aspects of nursing care, increases hospital expenses, and disrupts necessary tube feedings for critically ill patients.

Evidence Search: PubMed, CINAHL, EBSCO

Key words: gastric residual volume, aspiration, tube feeding