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. 2015 Jan-Mar;29(1):51-9; quiz E2.
doi: 10.1097/JPN.0000000000000080.

Aspiration and evaluation of gastric residuals in the neonatal intensive care unit: state of the science

Leslie Parker  1 , Roberto Murgas Torrazza, Yuefeng Li, Elizabeth Talaga, Jonathan Shuster, Josef Neu
Affiliations

Aspiration and evaluation of gastric residuals in the neonatal intensive care unit: state of the science

Leslie Parker et al. J Perinat Neonatal Nurs. 2015 Jan-Mar.

Abstract

The routine aspiration of gastric residuals (GR) is considered standard care for critically ill infants in the neonatal intensive care unit (NICU). Unfortunately, scant information exists regarding the risks and benefits associated with this common procedure. This article provides the state of the science regarding what is known about the routine aspiration and evaluation of GRs in the NICU focusing on the following issues: (1) the use of GRs for verification of feeding tube placement, (2) GRs as an indicator of gastric contents, (3) GRs as an indicator of feeding intolerance or necrotizing enterocolitis, (4) the association between GR volume and ventilator-associated pneumonia, (5) whether GRs should be discarded or refed, (6) the definition of an abnormal GR, and (7) the potential risks associated with aspiration and evaluation of GRs. Recommendations for further research and practice guidelines are also provided.

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References

    1. Mihatsch WA, von Schoenaich P, Fahnenstich H, et al. The significance of gastric residuals in the early enteral feeding advancement of extremely low birth weight infants. Pediatrics. 2002 Mar;109(3):457–459. - PubMed
    1. Cordero L, Nankervis CA, Coley BD, Giannone PJ. Orogastric tube placement in extremely low birth weight infants. Journal of neonatal-perinatal medicine. 2009;2(4):253–259.
    1. Ibrahim EH, Mehringer L, Prentice D, et al. Early versus late enteral feeding of mechanically ventilated patients: results of a clinical trial. Journal of Parenteral and Enteral Nutrition. 2002;26(3):174–181. - PubMed
    1. Metheny N, McSweeney M, Wehrle MA, Wiersema L. Effectiveness of the auscultatory method in predicting feeding tube location. Nursing research. 1990 Sep-Oct;39(5):262–267. - PubMed
    1. Ben Aoun J, Gasmi M, Jemai R, Sghairoun N, Sahli S, Hamzaoui M. Iatrogenic esophageal perforation in the neonate. La Tunisie medicale. 2012 Jan;90(1):72–74. - PubMed

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