Summary of best evidence for the management of enteral nutrition with gastric retention in critically ill patients
10.3761/J.ISSN.0524-1769.2023.23.006
- VernacularTitle:危重症患者肠内营养并发胃潴留护理的最佳证据总结
- Author:
Jing DU
1
;
Jiao SUN
;
Ting LI
;
Yang YANG
;
Xiaosu ZHAO
Author Information
1. 130021 长春市 吉林大学第一医院护理部
- Keywords:
Critically Ill Patients;
Enteral Nutrition;
Gastric Retention;
Evidence-Based Care
- From:
Chinese Journal of Nursing
2023;58(23):2856-2864
- CountryChina
- Language:Chinese
-
Abstract:
Objective To retrieve,evaluate and summarize the best evidence from home and abroad on the management of enteral nutrition complicating gastric retention in critically ill patients,and to provide a reference basis for clinical nursing staff to manage enteral nutrition complicating gastric retention in critically ill patients.Methods We searched websites and databases,including UpToDate,BMJ Best Practice,National Institute for Health and Clinical Excellence,Guidelines International Network,Registered Nurses Association of Ontario,Scottish Intercollegiate Guidelines Network,JBI,World Health Organization,Yimaitong guide network,Cochrane Library,PubMed,Embase,Web of Science,Sinomed,CNKI,Nutrition Society website,CINAHL(EBSCO),Wanfang Database,and collected relevant clinical decisions,guidelines,evidence summaries,expert consensuses and systematic reviews.2 researchers independently assessed methodological quality of included papers and extracted data.Results A total of 18 publications were included,including 3 guidelines,4 expert consensuses,4 systematic reviews,5 randomized controlled trials,1 quasi-experimental study,and 1 best evidence summary.18 pieces of the best evidence were summarized in 5 areas,including identification of gastric retention,management of enteral nutrition,management of monitoring,management of threshold determination,and management of treatment.Conclusion This study provides evidence-based evidence for nursing staff to manage enteral nutrition in critically ill patients with concomitant gastric retention,which can help reduce the incidence of gastric retention in critically ill patients.
