Evidence map›Paper›PMID 34768380›Full record

ArticleJournal of clinical medicine2021

Sonographic Evaluation of Gastric Residual Volume during Enteral Nutrition in Critically Ill Patients Using a Miniaturized Ultrasound Device.

Tizian Jahreis, Jessica Kretschmann, Nick Weidner, Thomas Volk, Andreas Meiser, Heinrich Volker Groesdonk

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Tizian JahreisDepartment of Anaesthesiology, Intensive Care and Pain Medicine, Saarland University Medical Center and Saarland University Faculty of Medicine, 66421 Homburg, Germany.ORCID 0000-0002-6033-1464
Jessica KretschmannDepartment of Anaesthesiology, Intensive Care and Pain Medicine, Saarland University Medical Center and Saarland University Faculty of Medicine, 66421 Homburg, Germany.
Nick WeidnerDepartment of Interdisciplinary Critical Care Medicine and Intermediate Care, Helios Klinikum Erfurt, 99089 Erfurt, Germany.
Thomas VolkDepartment of Anaesthesiology, Intensive Care and Pain Medicine, Saarland University Medical Center and Saarland University Faculty of Medicine, 66421 Homburg, Germany.ORCID 0000-0001-5175-7159
Andreas MeiserDepartment of Anaesthesiology, Intensive Care and Pain Medicine, Saarland University Medical Center and Saarland University Faculty of Medicine, 66421 Homburg, Germany.ORCID 0000-0001-6569-7003
Heinrich Volker GroesdonkDepartment of Interdisciplinary Critical Care Medicine and Intermediate Care, Helios Klinikum Erfurt, 99089 Erfurt, Germany.
Saarland University · DEHelios Klinikum Erfurt · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo assess the risk of aspiration, nutrient tolerance, and gastric emptying of patients in ICUs, gastric ultrasound can provide information about the gastric contents. Using established formulas, the gastric residual volume (GRV) can be calculated in a standardized way by measuring the gastric antrum. The purpose of this study was to determine the GRV in a cohort of enterally fed patients using a miniaturized ultrasound device to achieve knowledge about feasibility and the GRV over time during the ICU stay. The findings could contribute to the optimization of enteral nutrition (EN) therapy.

methodsA total of 217 ultrasound examinations with 3 measurements each (651 measurements in total) were performed twice daily (morning and evening) in a longitudinal observational study on 18 patients with EN in the interdisciplinary surgical ICU of Saarland University Medical Center. The measured values of the GRV were analyzed in relation to the clinical course, the nutrition, and other parameters.

resultsMeasurements could be performed without interrupting the flow of clinical care and without pausing EN. The GRV was significantly larger with sparsely auscultated bowel sounds than with normal and excited bowel sounds (

conclusionThe GRV measured by miniaturized ultrasound devices can provide important information about ICU patients without restricting treatment procedures in the ICU. Measurements are possible while EN therapy is ongoing. Further studies are needed to establish gastric ultrasound as a management tool in nutrition therapy.

Indexed as

critical illnessenteral nutritiongastric ultrasoundintensive caremulti-organ point-of-care ultrasound (MOPOCUS)

Identifiers

PMID34768380
PMCPMC8585036
OpenAlexW3207993095

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.