Effect of Feeding-Tube Properties on Residual Volume Measurements in Tube-Fed Patients
Background: The effect of feeding tube size and port configuration on the ability to measure gastric residual volume (GRV) is poorly understood. In addition, there is confusion about the need to measure GRVs during feedings into the small bowel. This study sought to (1) compare the volume of gastric...
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| Veröffentlicht in: | JPEN. Journal of parenteral and enteral nutrition 2005-05, Vol.29 (3), p.192-197 |
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| creator | Metheny, Norma A. Stewart, Jena Nuetzel, Gretel Oliver, Dana Clouse, Ray E. |
| description | Background: The effect of feeding tube size and port configuration
on the ability to measure gastric residual volume (GRV) is poorly understood.
In addition, there is confusion about the need to measure GRVs during feedings
into the small bowel. This study sought to (1) compare the volume of gastric
contents obtained from small-diameter feeding tubes and large-diameter sump
tubes concurrently positioned in the stomach and (2) describe the distribution
of GRVs during small-bowel feedings. Methods: For the first
objective, GRV measurements were made from 10-Fr tubes (n = 645) and
14-Fr or 18-Fr sump tubes (n = 645) concurrently present in 62
critically ill patients. Sixty-milliliter syringes were used to measure GRVs
from the 10-Fr tubes; the fluid was returned to the stomach and measurements
were repeated from the large-diameter sump tubes. To address the second
research objective, 890 GRV measurements were made from 14-Fr or 18-Fr gastric
sump tubes (not connected to suction) in 75 critically ill patients who were
receiving small-bowel feedings. Results: When GRVs were >50 mL, a
linear regression equation indicated that volumes obtained from the
large-diameter sump tubes were about 1.5 times greater than those obtained
from the small-diameter tubes concurrently present in the stomach, p< .001. Gastric volumes ≥100 mL were found in 11.6% of the 890
measurements made in patients receiving small-bowel feedings; volumes ≥150
mL were found in 5.4% of the measurements. Conclusions: The findings
suggest that GRVs obtained from large-diameter sump tubes are about 1.5 times
greater than those obtained from 10-Fr tubes. Large GRVs occur in at least 5%
of patients receiving postpyloric feedings.
A comparison of 645 dual readings from small-diameter feeding tubes and large-diameter sump tubes concurrently present in the stomach showed that the former significantly underestimates gastric residual volumes. Also, an evaluation of gastric residual volumes during small-bowel feedings showed significantly elevated levels in at least 5% of the 890 measurements. |
| doi_str_mv | 10.1177/0148607105029003192 |
| format | Article |
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on the ability to measure gastric residual volume (GRV) is poorly understood.
In addition, there is confusion about the need to measure GRVs during feedings
into the small bowel. This study sought to (1) compare the volume of gastric
contents obtained from small-diameter feeding tubes and large-diameter sump
tubes concurrently positioned in the stomach and (2) describe the distribution
of GRVs during small-bowel feedings. Methods: For the first
objective, GRV measurements were made from 10-Fr tubes (n = 645) and
14-Fr or 18-Fr sump tubes (n = 645) concurrently present in 62
critically ill patients. Sixty-milliliter syringes were used to measure GRVs
from the 10-Fr tubes; the fluid was returned to the stomach and measurements
were repeated from the large-diameter sump tubes. To address the second
research objective, 890 GRV measurements were made from 14-Fr or 18-Fr gastric
sump tubes (not connected to suction) in 75 critically ill patients who were
receiving small-bowel feedings. Results: When GRVs were >50 mL, a
linear regression equation indicated that volumes obtained from the
large-diameter sump tubes were about 1.5 times greater than those obtained
from the small-diameter tubes concurrently present in the stomach, p< .001. Gastric volumes ≥100 mL were found in 11.6% of the 890
measurements made in patients receiving small-bowel feedings; volumes ≥150
mL were found in 5.4% of the measurements. Conclusions: The findings
suggest that GRVs obtained from large-diameter sump tubes are about 1.5 times
greater than those obtained from 10-Fr tubes. Large GRVs occur in at least 5%
of patients receiving postpyloric feedings.
A comparison of 645 dual readings from small-diameter feeding tubes and large-diameter sump tubes concurrently present in the stomach showed that the former significantly underestimates gastric residual volumes. Also, an evaluation of gastric residual volumes during small-bowel feedings showed significantly elevated levels in at least 5% of the 890 measurements.</description><identifier>ISSN: 0148-6071</identifier><identifier>EISSN: 1941-2444</identifier><identifier>DOI: 10.1177/0148607105029003192</identifier><identifier>PMID: 15837779</identifier><identifier>CODEN: JPENDU</identifier><language>eng</language><publisher>United States: SAGE Publications</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Critical Illness - therapy ; Enteral Nutrition - instrumentation ; Female ; Food, Formulated ; Gastric Emptying - physiology ; Gastrointestinal Contents ; Humans ; Intubation, Gastrointestinal - adverse effects ; Intubation, Gastrointestinal - instrumentation ; Male ; Middle Aged</subject><ispartof>JPEN. Journal of parenteral and enteral nutrition, 2005-05, Vol.29 (3), p.192-197</ispartof><rights>American Society for Parenteral and Enteral Nutrition</rights><rights>2005 by The American Society for Parenteral and Enteral Nutrition</rights><rights>Copyright American Society for Parenteral and Enteral Nutrition May/Jun 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4872-15c87533a228e14b3e24c3947ba32afd558d7e2bb22de23a3493990953d960263</citedby><cites>FETCH-LOGICAL-c4872-15c87533a228e14b3e24c3947ba32afd558d7e2bb22de23a3493990953d960263</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1177%2F0148607105029003192$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1177%2F0148607105029003192$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15837779$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Metheny, Norma A.</creatorcontrib><creatorcontrib>Stewart, Jena</creatorcontrib><creatorcontrib>Nuetzel, Gretel</creatorcontrib><creatorcontrib>Oliver, Dana</creatorcontrib><creatorcontrib>Clouse, Ray E.</creatorcontrib><title>Effect of Feeding-Tube Properties on Residual Volume Measurements in Tube-Fed Patients</title><title>JPEN. Journal of parenteral and enteral nutrition</title><addtitle>JPEN J Parenter Enteral Nutr</addtitle><description>Background: The effect of feeding tube size and port configuration
on the ability to measure gastric residual volume (GRV) is poorly understood.
In addition, there is confusion about the need to measure GRVs during feedings
into the small bowel. This study sought to (1) compare the volume of gastric
contents obtained from small-diameter feeding tubes and large-diameter sump
tubes concurrently positioned in the stomach and (2) describe the distribution
of GRVs during small-bowel feedings. Methods: For the first
objective, GRV measurements were made from 10-Fr tubes (n = 645) and
14-Fr or 18-Fr sump tubes (n = 645) concurrently present in 62
critically ill patients. Sixty-milliliter syringes were used to measure GRVs
from the 10-Fr tubes; the fluid was returned to the stomach and measurements
were repeated from the large-diameter sump tubes. To address the second
research objective, 890 GRV measurements were made from 14-Fr or 18-Fr gastric
sump tubes (not connected to suction) in 75 critically ill patients who were
receiving small-bowel feedings. Results: When GRVs were >50 mL, a
linear regression equation indicated that volumes obtained from the
large-diameter sump tubes were about 1.5 times greater than those obtained
from the small-diameter tubes concurrently present in the stomach, p< .001. Gastric volumes ≥100 mL were found in 11.6% of the 890
measurements made in patients receiving small-bowel feedings; volumes ≥150
mL were found in 5.4% of the measurements. Conclusions: The findings
suggest that GRVs obtained from large-diameter sump tubes are about 1.5 times
greater than those obtained from 10-Fr tubes. Large GRVs occur in at least 5%
of patients receiving postpyloric feedings.
A comparison of 645 dual readings from small-diameter feeding tubes and large-diameter sump tubes concurrently present in the stomach showed that the former significantly underestimates gastric residual volumes. Also, an evaluation of gastric residual volumes during small-bowel feedings showed significantly elevated levels in at least 5% of the 890 measurements.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Critical Illness - therapy</subject><subject>Enteral Nutrition - instrumentation</subject><subject>Female</subject><subject>Food, Formulated</subject><subject>Gastric Emptying - physiology</subject><subject>Gastrointestinal Contents</subject><subject>Humans</subject><subject>Intubation, Gastrointestinal - adverse effects</subject><subject>Intubation, Gastrointestinal - instrumentation</subject><subject>Male</subject><subject>Middle Aged</subject><issn>0148-6071</issn><issn>1941-2444</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqNkEtLw0AUhQdRbK3-AkEGF-6idx7JZJZSWh9ULVK7DZPkpqTkUWcapP_ehBQKIuLqwuX7DodDyCWDW8aUugMmwwAUAx-4BhBM8yMyZFoyj0spj8mwI7wOGZAz59bQQgHAKRkwPxRKKT0ky0mWYbKldUaniGlerbxFEyOd23qDdpujo3VF39HlaWMKuqyLpkT6gsY1Fkusto7mFe0Ub4opnZtWaZ_n5CQzhcOL_R2Rj-lkMX70Zm8PT-P7mZfIUHGP-UmofCEM5yEyGQvkMhFaqtgIbrLU98NUIY9jzlPkwgiphdagfZHqAHggRuSmz93Y-rNBt43K3CVYFKbCunFRoJQfCN2B1z_Add3Yqu0WcQEcWki3kOihxNbOWcyijc1LY3cRg6jbPPpl89a62kc3cYnpwdmP3AK6B77yAnf_yYye55NX6MOhd51Z4aHzX32-AXl5lyI</recordid><startdate>200505</startdate><enddate>200505</enddate><creator>Metheny, Norma A.</creator><creator>Stewart, Jena</creator><creator>Nuetzel, Gretel</creator><creator>Oliver, Dana</creator><creator>Clouse, Ray E.</creator><general>SAGE Publications</general><general>American Society for Parenteral and Enteral Nutrition</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>BEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>200505</creationdate><title>Effect of Feeding-Tube Properties on Residual Volume Measurements in Tube-Fed Patients</title><author>Metheny, Norma A. ; Stewart, Jena ; Nuetzel, Gretel ; Oliver, Dana ; Clouse, Ray E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4872-15c87533a228e14b3e24c3947ba32afd558d7e2bb22de23a3493990953d960263</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Critical Illness - therapy</topic><topic>Enteral Nutrition - instrumentation</topic><topic>Female</topic><topic>Food, Formulated</topic><topic>Gastric Emptying - physiology</topic><topic>Gastrointestinal Contents</topic><topic>Humans</topic><topic>Intubation, Gastrointestinal - adverse effects</topic><topic>Intubation, Gastrointestinal - instrumentation</topic><topic>Male</topic><topic>Middle Aged</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Metheny, Norma A.</creatorcontrib><creatorcontrib>Stewart, Jena</creatorcontrib><creatorcontrib>Nuetzel, Gretel</creatorcontrib><creatorcontrib>Oliver, Dana</creatorcontrib><creatorcontrib>Clouse, Ray E.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>JPEN. Journal of parenteral and enteral nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Metheny, Norma A.</au><au>Stewart, Jena</au><au>Nuetzel, Gretel</au><au>Oliver, Dana</au><au>Clouse, Ray E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of Feeding-Tube Properties on Residual Volume Measurements in Tube-Fed Patients</atitle><jtitle>JPEN. Journal of parenteral and enteral nutrition</jtitle><addtitle>JPEN J Parenter Enteral Nutr</addtitle><date>2005-05</date><risdate>2005</risdate><volume>29</volume><issue>3</issue><spage>192</spage><epage>197</epage><pages>192-197</pages><issn>0148-6071</issn><eissn>1941-2444</eissn><coden>JPENDU</coden><abstract>Background: The effect of feeding tube size and port configuration
on the ability to measure gastric residual volume (GRV) is poorly understood.
In addition, there is confusion about the need to measure GRVs during feedings
into the small bowel. This study sought to (1) compare the volume of gastric
contents obtained from small-diameter feeding tubes and large-diameter sump
tubes concurrently positioned in the stomach and (2) describe the distribution
of GRVs during small-bowel feedings. Methods: For the first
objective, GRV measurements were made from 10-Fr tubes (n = 645) and
14-Fr or 18-Fr sump tubes (n = 645) concurrently present in 62
critically ill patients. Sixty-milliliter syringes were used to measure GRVs
from the 10-Fr tubes; the fluid was returned to the stomach and measurements
were repeated from the large-diameter sump tubes. To address the second
research objective, 890 GRV measurements were made from 14-Fr or 18-Fr gastric
sump tubes (not connected to suction) in 75 critically ill patients who were
receiving small-bowel feedings. Results: When GRVs were >50 mL, a
linear regression equation indicated that volumes obtained from the
large-diameter sump tubes were about 1.5 times greater than those obtained
from the small-diameter tubes concurrently present in the stomach, p< .001. Gastric volumes ≥100 mL were found in 11.6% of the 890
measurements made in patients receiving small-bowel feedings; volumes ≥150
mL were found in 5.4% of the measurements. Conclusions: The findings
suggest that GRVs obtained from large-diameter sump tubes are about 1.5 times
greater than those obtained from 10-Fr tubes. Large GRVs occur in at least 5%
of patients receiving postpyloric feedings.
A comparison of 645 dual readings from small-diameter feeding tubes and large-diameter sump tubes concurrently present in the stomach showed that the former significantly underestimates gastric residual volumes. Also, an evaluation of gastric residual volumes during small-bowel feedings showed significantly elevated levels in at least 5% of the 890 measurements.</abstract><cop>United States</cop><pub>SAGE Publications</pub><pmid>15837779</pmid><doi>10.1177/0148607105029003192</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0148-6071 |
| ispartof | JPEN. Journal of parenteral and enteral nutrition, 2005-05, Vol.29 (3), p.192-197 |
| issn | 0148-6071 1941-2444 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_67756396 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; Alma/SFX Local Collection |
| subjects | Adolescent Adult Aged Aged, 80 and over Critical Illness - therapy Enteral Nutrition - instrumentation Female Food, Formulated Gastric Emptying - physiology Gastrointestinal Contents Humans Intubation, Gastrointestinal - adverse effects Intubation, Gastrointestinal - instrumentation Male Middle Aged |
| title | Effect of Feeding-Tube Properties on Residual Volume Measurements in Tube-Fed Patients |
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