Gastric Emptying in Critically Ill Children

Background: Delayed gastric emptying (GE) impedes enteral nutrient (EN) delivery in critically ill children. We examined the correlation between (a) bedside EN intolerance assessments, including gastric residual volume (GRV); (b) delayed GE; and (c) delayed EN advancement. Materials and Methods: We...

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Bibliographic Details
Published in:JPEN. Journal of parenteral and enteral nutrition 2017-09, Vol.41 (7), p.1100-1109
Main Authors: Martinez, Enid E., Pereira, Luis M., Gura, Kathleen, Stenquist, Nicole, Ariagno, Katelyn, Nurko, Samuel, Mehta, Nilesh M.
Format: Article
Language:English
Subjects:
Abdomen
Abdominal Pain
Acetaminophen - pharmacokinetics
Adolescent
Area Under Curve
Child
Child, Preschool
critical care
Critical Illness
delayed enteral nutrition
Enteral Nutrition
enteral nutrition intolerance
Feces
Female
Gastric Emptying
gastric residual volume
Gastrointestinal Contents
Gastrointestinal Diseases - physiopathology
Gastrointestinal Transit
Gastroparesis - epidemiology
Humans
Male
pediatrics
Prevalence
Respiration, Artificial
Stomach - physiopathology
Vomiting
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Summary:Background: Delayed gastric emptying (GE) impedes enteral nutrient (EN) delivery in critically ill children. We examined the correlation between (a) bedside EN intolerance assessments, including gastric residual volume (GRV); (b) delayed GE; and (c) delayed EN advancement. Materials and Methods: We prospectively enrolled patients ≥1 year of age, eligible for gastric EN and without contraindications to acetaminophen. Gastric emptying was determined by the acetaminophen absorption test, specifically the area under the curve at 60 minutes (AUC60). Slow EN advancement was defined as delivery of
ISSN:0148-6071
1941-2444
DOI:10.1177/0148607116686330