[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
:: Volume 4, Issue 2 (Military Caring Sciences 2017) ::
MCS 2017, 4(2): 111-119 Back to browse issues page
The Effect of Body Change Position on Gastric Residual Volume in Patients Undergoing Mechanical Ventilation in the Intensive Care Units of a Military Hospital
Kamali. M 1, Farsi. Z 2, Zareiyan. A 3
1- MSc student of Critical Care Nursing, Iran, Tehran, AJA University of Medical Science, Faculty of Nursing.
2- Ph.D. in Nursing, Associate Professor, Iran, Tehran, AJA University of Medical Science, Faculty of Nursing. Community Health Department.
3- Ph.D. in Nursing, Associate Professor, Iran, Tehran, AJA University of Medical Science, Faculty of Nursing. Community Health Department
Abstract:   (250 Views)

Introduction: Suitable nutritional support is very important in all hospitalized patients, especially those who are hospitalized in intensive care units (ICUs). Delayed gastric emptying is one of the most common problems in patients undergoing mechanical ventilation and receiving nutrition via a feeding tube. This complication can lead to serious problems such as pneumonia and malnutrition.
Objectives: This study aimed to examine the effect of body change position on gastric residual volume in patients undergoing mechanical ventilation hospitalized in the ICU.
Materials and Methods: This randomized clinical trial study was conducted on 36 patients undergoing mechanical ventilation hospitalized in ICUs in Be’sat Military Hospital in Tehran, Iran, during 2016-2017. Patients were selected using the convenience sampling method and randomly allocated into two groups. After gavage, patients in groups A and B were placed in semi-sitting and right lateral positions respectively for three hours. Then, their gastric residual volume was measured based on the Australian guideline. Data were analyzed using descriptive and inferential statistics with SPSS software version 21.
Results: The mean of gastric residual volume in the base position was 51.50±15.80 in group A and 61.88±19.17 in group B (P=0.085). The mean of gastric residual volume three hours after placing in the semi-sitting position was 49.50±15.50 in group A and after placing in the right lateral position was 59.77±19.68 in group B (P=0.091). The results of paired t-test showed a statistically significant difference in the gastric residual volume between group A (P=0.011) and group B (P=0.002) after three hours.
Discussion and Conclusion: The results of the study show that body change position is effective on gastric residual volume in patients hospitalized in ICUs. So, changing position of the patients is suggested in order to reduce complications such as increasing gastric residual volume in these patients. Also, further similar studies in this field are recommended.
 

Keywords: Delayed gastric emptying, Mechanical Ventilation, Tube feeding, Gastric residual volume, body position.
Full-Text [PDF 387 kb]   (76 Downloads)    
Type of Study: Research | Subject: Special
Received: 2017/04/16 | Accepted: 2017/05/29 | Published: 2017/09/27
References
1. Guo B. Gastric Residual Volume Management in Critically Ill Mechanically Ventilated Patients: a Literature Review. Proc Singapore Healthc. 2015;24(3):171-80.
2. Shayeste F, Poudineh S, Mohammadzadeh M, Kemani M, Ayoobi S, Noroozi A. Assessment of Nutritional Intake in Intensive Care Unit of Ghaem Hospital. Med J Mashad Univ Med Sci. 2015;58(4):217-24.
3. Aslani M, Hanifi N, Ahmadi F, Fallah R. the Effect of Acupressure on Gastric Emptying in Ventilate Patients in Intensive Care Units. Hayat. 2014;2(3):69-81.
4. Hayakawa M, Ono Y, Wada T, Yanagida Y, Sawamura A, Takeda H, et al. Effects of Rikkunshito (traditional Japanese medicine) on enteral feeding and the plasma ghrelin level in critically ill patients: a pilot study. J Intensive Care. 2014;2(1):53. DOI: 10.1186/s40560-014-0053-4 PMID: 25705411 [DOI] [PubMed]
5. Nguyen NQ, Fraser RJ, Bryant LK, Burgstad C, Chapman MJ, Bellon M, et al. The impact of delaying enteral feeding on gastric emptying, plasma cholecystokinin, and peptide YY concentrations in critically ill patients. Crit Care Med. 2008;36(5):1469-74. DOI: 10.1097/CCM.0b013e31816fc457 PMID: 18434906 [DOI] [PubMed]
6. Montejo JC, Minambres E, Bordeje L, Mesejo A, Acosta J, Heras A, et al. Gastric residual volume during enteral nutrition in ICU patients: the REGANE study. Intensive Care Med. 2010;36(8):1386-93. DOI: 10.1007/s00134-010-1856-y PMID: 20232036 [DOI] [PubMed]
7. Nguyen NQ, Ng MP, Chapman M, Fraser RJ, Holloway RH. The impact of admission diagnosis on gastric emptying in critically ill patients. Crit Care. 2007;11(1):R16. DOI: 10.1186/cc5685 PMID: 17288616 [DOI] [PubMed]
8. Doherty WL, Winter B. Prokinetic agents in critical care. Crit Care. 2003;7(3):206-8. DOI: 10.1186/cc1849 PMID: 12793865 [DOI] [PubMed]
9. Vahdat Z, Taleban F, Mokhtari M, Alavi F, Mehrabi Y, Salehi MH. The effect of Ginger Extract on Gastric Emptying Time and Decrease the Ventilator Associated Pneumonia in Ards Patients in Intensive Care Units. Med Sci J Islamic Azad Univ Tehran Med Branch. 2009;19(3):201-5.
10. Nassaji M, Ghorbani R, Frozeshfard M, Mesbahian F. Effect of metoclopramide on nosocomial pneumonia in patients with nasogastric feeding in the intensive care unit. East Mediterr Health J. 2010;16(4):371-4. PMID: 20795418 [DOI]
11. Dive A, Miesse C, Galanti L, Jamart J, Evrard P, Gonzalez M, et al. Effect of erythromycin on gastric motility in mechanically ventilated critically ill patients: a double-blind, randomized, placebo-controlled study. Crit Care Med. 1995;23(8):1356-62. PMID: 7634805 [PubMed]
12. Stewart ML. Interruptions in enteral nutrition delivery in critically ill patients and recommendations for clinical practice. Crit Care Nurse. 2014;34(4):14-21; quiz 2. DOI: 10.4037/ccn2014243 PMID: 25086090 [DOI] [PubMed]
13. Heydari A, Emami Zeydi A. Is gastric residual volume monitoring in critically ill patients receiving mechanical ventilation an evidence-based practice? Indian J Crit Care Med. 2014;18(4):259-60. DOI: 10.4103/0972-5229.130588 PMID: 24872663 [DOI] [PubMed]
14. DeLegge MH. Managing gastric residual volumes in the critically ill patient: an update. Curr Opin Clin Nutr Metab Care. 2011;14(2):193-6. DOI: 10.1097/MCO.0b013e328341ede7 PMID: 21102316 [DOI] [PubMed]
15. Kreymann KG, Berger MM, Deutz NE, Hiesmayr M, Jolliet P, Kazandjiev G, et al. ESPEN Guidelines on Enteral Nutrition: Intensive care. Clin Nutr. 2006;25(2):210-23. DOI: 10.1016/j.clnu.2006.01.021 PMID: 16697087 [DOI] [PubMed]
16. Hussein HA. The Difference Between Right Side and Semi Recumbent Positions after Feeding on Gastric Residual Volume among Infants. J Am Sci. 2012;8(1):127-32.
17. Goecze I, Strenge F, Zeman F, Creutzenberg M, Graf B, Schlitt H, et al., editors. The effect of Semirecumbent Position on Hemodynamic Stability in Ventilated Critically Ill Patients-Prospective Multivariate Analysis. Intensive Care Med; 2012: Springer 233 Spring St, New York, Ny 10013 USA.
18. Knaus WA, Wagner DP, Draper EA, Zimmerman JE, Bergner M, Bastos PG, et al. The APACHE III prognostic system. Risk prediction of hospital mortality for critically ill hospitalized adults. Chest. 1991;100(6):1619-36. PMID: 1959406 [PubMed]
19. Ferrie S, Daniells S, Gagnon S, Hamlyn J, Jukkola K, Riley N. Enteral Nutrition Manual for Adults in Health Care Facilities. Dietitians Association of Australia. 2011.
20. Jebraeeli M, Rasooli E, Heydarzade M, Ghorbanzade M. The effect of Body Position on Newborns Gastric Residual Volume. Med J Tabriz Univ Med Sci. 2010;33(2):13-8.
21. Chen SS, Tzeng YL, Gau BS, Kuo PC, Chen JY. Effects of prone and supine positioning on gastric residuals in preterm infants: a time series with cross-over study. Int J Nurs Stud. 2013;50(11):1459-67. DOI: 10.1016/j.ijnurstu.2013.02.009 PMID: 23537895 [DOI] [PubMed]
22. Hwang SK, Ju HO, Kim YS, Lee HZ, Kim YH. Effects of body position and time after feeding on gastric residuals in LBW infants. Taehan Kanho Hakhoe Chi. 2003;33(4):488-94. PMID: 15314424 [PubMed]
23. Sanaka M, Urita Y, Yamamato T, Shirai T, Kimura S, Aoniaji H. Right Recumbent Position on Gastric Emptying of Water Evidenced by C Breathe Testing. World J Gastrointestal. 2013;19(3):362-85.
24. Farmahinh Farahani B, Sajadi A, Esmaeypourzanjani A, Dormanesh B, Zare M. Evaluate the Effect of Vitamin C Fatigue in Patients with Chronic Renal Failure Undergoing Hemodialysis Feed in Selected Hospitals to Military Medical University. Med J Islam Repub Iran. 2010;7:163-8.
Send email to the article author

Add your comments about this article
Your username or Email:

Write the security code in the box >



XML   Persian Abstract   Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

M K, Z F, A Z. The Effect of Body Change Position on Gastric Residual Volume in Patients Undergoing Mechanical Ventilation in the Intensive Care Units of a Military Hospital. MCS. 2017; 4 (2) :111-119
URL: http://mcs.ajaums.ac.ir/article-1-168-en.html
Volume 4, Issue 2 (Military Caring Sciences 2017) Back to browse issues page
مجله علوم مراقبتی نظامی Military Caring Sciences
Persian site map - English site map - Created in 0.054 seconds with 820 queries by yektaweb 3535