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    The relationship of gastrointestinal complications and ventilator related status with gastric residual volume in intensive care patients
    (2021) Kaçmaz, Mustafa; Kocaöz, Fazilet; Destegül, Dilek; Turhan, Zeynep Yüksel; Bayraktar, Muhammet
    Aim: Our study aimed primarily to determine whether there was a relationship betweentotal gastric residual volume (GRV) amounts and two different GRV thresholds andthe development of gastrointestinal intolerance in patients on mechanical ventilationin the intensive care unit (ICU) and secondarily, to determine the effects of differentGRV quantities on ventilator-related conditions (VAC).Methods: Seventy patients above the age of 18 who were scheduled to be fed withenteral nutrition (EN) for at least three days, were divided into two groups including 35patients according to GRV threshold values of 250 ml and 500 ml. The total amountsof GRV of the patients who did not exceed any of the two GRV thresholds during thefollow-up period of 72 hours were recorded and calculated. For all patients, necessarydata was recorded and high gastric residual volume rates (HGRV), times to reachtarget calories, mean GRV amounts, abdominal distension, vomiting, diarrhea, VACand infection-related ventilator-related complications (IVAC) were all observed.Results: Although there were statistically significant differences between the groupsin terms of the HGRV rates and the HGRV rates exceeding the determined thresholdvalues [p <0.05], there was no significant difference between the groups in terms ofabdominal distension, vomiting, diarrhea, VAC and IVAC (p> 0.05).Conclusion: The results of this study suggest that measuring the amount of GRVin intensive care patients fed by EN via the nasogastric tube in order to decide ongastrointestinal motility function and to reduce the complication rate, is not necessary