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Titolo:
Enteral feeding in the critically ill: comparison between the supine and prone positions - A prospective crossover study in mechanically ventilated patients
Autore:
van der Voort, PHJ; Zandstra, DF;
Indirizzi:
Med Ctr Leeuwarden Zuid, Dept Intens Care, Leeuwarden, Netherlands Med CtrLeeuwarden Zuid Leeuwarden Netherlands Leeuwarden, Netherlands Onze Lieve Vrouw Hosp, Dept Intens Care, Amsterdam, Netherlands Onze LieveVrouw Hosp Amsterdam Netherlands are, Amsterdam, Netherlands
Titolo Testata:
CRITICAL CARE
fascicolo: 4, volume: 5, anno: 2001,
pagine: 216 - 220
SICI:
1466-609X(2001)5:4<216:EFITCI>2.0.ZU;2-Z
Fonte:
ISI
Lingua:
ENG
Soggetto:
RESPIRATORY-DISTRESS-SYNDROME; PARENTERAL-NUTRITION; BODY POSITION; DOPAMINE; TRIAL;
Keywords:
critically ill patients; enteral feeding; gastric residual volume; prone position; supine position;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
21
Recensione:
Indirizzi per estratti:
Indirizzo: van der Voort, PHJ Med Ctr Leeuwarden Zuid, Dept Intens Care, Leeuwarden, Netherlands Med Ctr Leeuwarden Zuid Leeuwarden Netherlands lands
Citazione:
P.H.J. van der Voort e D.F. Zandstra, "Enteral feeding in the critically ill: comparison between the supine and prone positions - A prospective crossover study in mechanically ventilated patients", CRIT CARE, 5(4), 2001, pp. 216-220

Abstract

Introduction Prone position is effective in mechanically ventilated patients to improve oxygenation. It is unknown if prone position affects gastric emptying and the ability of continued enteral feeding. Aim To determine tolerance of enteral feeding by measuring gastric residual volumes in enterally fed patients during supine and prone positions. Methods Consecutive mechanically ventilated intensive care patients who were turned to prone position were included. All patients were studied for 6 hours in supine position, immediately followed by 6 hours in prone position, or visa versa. The rate of feeding was unchanged during the study period. Gastric residual volume was measured by suctioning the naso-gastric tube after 3 and 6 hours in the same position. Wilcoxon test and regression analysis were used for analysis. Results The median volume of administered enteral feeds was 95 ml after 6 hours in supine position and 110 ml after 6 hours in prone position (P = 0.85). In 10 patients, a greater gastric residual volume was found in prone position. In eight others a greater volume was found in supine position. In 18 of 19 patients, gastric residual volumes in both positions were greater than or equal to 150 ml in 6 hours or less than or equal to 150 ml in 6 hours. Significantly more sedatives were used in prone position. Regression analysis excluded dopamine dose and the starting position as confounders. Conclusion Our results suggest that enteral feeding can be continued when a patient is turned from supine to prone position or vice versa. The results indicate that patients with a clinically significant gastric residual volume in one position are likely to have a clinically significant gastric residual volume in the other position.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/01/20 alle ore 07:35:23