Does ultrasonographic assessment of gastric antrum correlate with gastric residual volume in critically ill patients? A prospective observational study

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dc.authoridinal, volkan/0000-0003-2649-104X
dc.authoridYamanel, Levent/0000-0002-3704-3763
dc.authoridTaskin, Gurhan/0000-0002-6406-9221
dc.authorwosidinal, volkan/A-6069-2018
dc.authorwosidTaskin, Gurhan/AGQ-8182-2022
dc.contributor.authorTaskin, Gurhan
dc.contributor.authorInal, Volkan
dc.contributor.authorYamanel, Levent
dc.date.accessioned2024-06-12T10:58:52Z
dc.date.available2024-06-12T10:58:52Z
dc.date.issued2021
dc.departmentTrakya Üniversitesien_US
dc.description.abstractThis study aimed to evaluate the relationship between ultrasonographic gastric antral measurements and aspirated gastric residual volume (GRV) in mechanically ventilated critically ill patients receiving enteral nutrition (EN). This prospective observational study included 56 enterally-fed critically ill patients in one-year period. All imaging procedures were done at 30-degree head-of-bed elevation and supine position on epigastric region of abdomen with 2.5-6 MHz convex-array probe just before routine GRV aspiration. The antral cross-sectional area (CSA) was calculated by measuring the anteroposterior (dAP) and craniocaudal diameters (dCC) of the gastric antrum. Total 283 ultrasonographic gastric antrum imaging procedures were done. In only eight (2.82%) attempts, the antrum could not be visualized due to inhibition from intra-gastric air or gas in the surrounding intestinal lumen. The calculated mean antral CSA was 568.15 +/- 348.37 mm(2) (103.43-2,846.30). The antral CSA correlated significantly with aspirated GRV, and the antral CSA increased linearly with increasing aspirated GRV (R-2 = 0.73, p < 0.0001). In Receiver operating characteristic (ROC) analysis of antral CSA >= 920 mm(2) (mean + 1*SD) for estimating aspirated GRV, the area under the curve (AUC) was 0.848 (95% CI, 0.76 similar to 0.93) (p < 0.0001), and ROC analysis of antral CSA to discriminate aspirated GRV >= 250 mL showed a significant relation (AUC = 0.969, 95% CI 0.94 similar to 0.99, p < 0.0001). Ultrasonographic measurement of gastric antral CSA is an easy and reliable bedside procedure to estimate GRV in critically ill patients receiving EN in 30-degree head-of-bed elevation and supine position. Trial registration number: NCT04413474, date of registration: June 17, 2020, retrospectively registered.en_US
dc.identifier.doi10.1007/s10877-021-00707-y
dc.identifier.endpage929en_US
dc.identifier.issn1387-1307
dc.identifier.issn1573-2614
dc.identifier.issue4en_US
dc.identifier.pmid33876338en_US
dc.identifier.scopus2-s2.0-85104514569en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage923en_US
dc.identifier.urihttps://doi.org/10.1007/s10877-021-00707-y
dc.identifier.urihttps://hdl.handle.net/20.500.14551/20217
dc.identifier.volume35en_US
dc.identifier.wosWOS:000641224500002en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringer Heidelbergen_US
dc.relation.ispartofJournal Of Clinical Monitoring And Computingen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCritical Careen_US
dc.subjectUltrasonographyen_US
dc.subjectEnteral Nutritionen_US
dc.subjectFeeding Intoleranceen_US
dc.subjectGastric Volumeen_US
dc.titleDoes ultrasonographic assessment of gastric antrum correlate with gastric residual volume in critically ill patients? A prospective observational studyen_US
dc.typeArticleen_US

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