UNASSIGNED:研究使用连续超声胃残余体积(GRV)测量预测危重患者的饲料不耐受。
UNASSIGNED:这项研究是在全印度医学科学研究所的各种重症监护病房(ICU)进行的,新德里。对43名年龄超过18岁的危重患者进行了总共130天的肠内喂养。通过计算窦横截面积(CSA)获得胃剩余体积,这是使用右侧卧位超声获得的胃窦前后(AP)和颅尾(CC)直径的乘积。在开始肠内喂养之前进行基线测量,称为GRV0,在前4小时每1小时重复超声扫描,分别称为GRV1,GRV2,GRV3和GRV4。并观察患者是否存在饲料不耐受。构建接受者工作特征(ROC)曲线,以将每次的GRV与饲料不耐受相关联。
UNASSIGNED:分析了43例内科和外科危重患者的数据。在130天的喂养中,13人被认为是不耐受的。第4小时进食结束时的胃残留量,也就是说,GRV4是饲料不耐受的最佳预测指标,曲线下面积(AUROC)为99.3%,灵敏度99%,99.3%的特异性,95%CI,0.89-0.98,其次是GRV3,AUROC为96%,敏感性和特异性为92.3和96%,分别,95%CI,0.92-0.99。
未经评估:AnkalagiB,辛格总理,RewariV,RamachandranR,AggarwalR,SoniKD,etal.重症患者胃残余体积的连续超声测量,以预测胃管饲料不耐受。印度JCritCareMed2022;26(9):987-992。
UNASSIGNED: To study the use of serial ultrasound gastric residual volume (GRV) measurements in predicting feed intolerance in critically ill patients.
UNASSIGNED: This study was conducted in various intensive care units (ICUs) of All India Institute of Medical Sciences, New Delhi. Forty-three critically ill patients aged more than 18 years were studied for a total of 130 enteral feeding days. Gastric residual volume was obtained by calculating the antral cross-sectional area (CSA), which is the product of anteroposterior (AP) and craniocaudal (CC) diameters of gastric antrum obtained using ultrasound in the right lateral decubitus position. A baseline measurement was done before the initiation of the enteral feed and termed GRV0, the ultrasound scanning was repeated every 1 hour for the first 4 hours and termed GRV1, GRV2, GRV3, and GRV4, respectively, and the patients were watched for feed intolerance. The receiver operating characteristic (ROC) curves were constructed to correlate the GRV at each time with feed intolerance.
UNASSIGNED: The data from 43 medical and surgical critically ill patients were analyzed. Out of 130 feeding days, 13 were noted to be feed intolerant. Gastric residual volume at the end of the fourth hour of feed, that is, GRV4 was the best predictor of feed intolerance with 99.3% area under the curve (AUROC), sensitivity of 99%, specificity of 99.3%, and 95% CI, 0.89-0.98 followed by GRV3, with AUROC of 96% and sensitivity and specificity of 92.3 and 96%, respectively, with 95% CI, 0.92-0.99.
UNASSIGNED: Ankalagi B, Singh PM, Rewari V, Ramachandran R, Aggarwal R, Soni KD, et al. Serial Ultrasonographic-measurement of Gastric Residual Volume in Critically Ill Patients for Prediction of Gastric Tube Feed Intolerance. Indian J Crit Care Med 2022;26(9):987-992.