Positioning patients in the RL and SR positions rather than in the supine position is an effective strategy to reduce GRV. In Group A, GRV was significantly lower at each subsequent measurement point. The in-group measurements for GRV did not significantly differ for any of the three positions. GRV in the SR and RL positions did not vary significantly. GRV was significantly lower in both the SR and RL positions than in the supine position. GRV was first measured in all of the participants in the supine position after which, participants were randomly assigned into one of two therapeutic positioning groups (Group A: assessment in the SR position and then the RL position Group B: assessment in the RL position and then the SR position). GRV was measured at 3 hours after three consecutive feedings.
#Gastric residual volume trial
MethodsĪ randomized, crossover clinical trial design was used to investigate GRV in 36 critically ill, ventilated adult patients who were hospitalized in the intensive care unit. This study was designed to determine the respective effects of the semirecumbent (SR) supine and right lateral (RL) with a flatbed positions on the gastric residual volume (GRV) of mechanically ventilated, critically ill adult patients.
#Gastric residual volume license
This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.ĭelay in stomach discharge is a challenge for patients who are tube fed and may result in serious side effects such as pneumonia and malnutrition. The Journal of Nursing Research, 28(4), e108. The effect of semirecumbent and right lateral positions on the gastric residual volume of mechanically ventilated, critically ill patients.
The authors declare no conflicts of interest.Ĭite this article as: Farsi, Z., Kamali, M., Butler, S., & Zareiyan, A.
∗Address correspondence to: Zahra FARSI, Faculty of Nursing, Research Department, Aja University of Medical Sciences, Kaj St., Shariati St, Tehran, Iran. 1PhD, Associate Professor, Faculty of Nursing, Research Department and Community Health Department, Aja University of Medical Sciences, Tehran, IranĢMSc, Researcher, Student Research Committee, Faculty of Nursing, Aja University of Medical Sciences, Tehran, IranģPhD, Assistant Professor, Harvard Medical School and Boston Children's Hospital, Boston, Massachusetts, USAĤPhD, Associate Professor, Faculty of Nursing, Community Health Department, Aja University of Medical Sciences, Tehran, Iran.
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