Summary of the best evidence for the assessment of gastrointestinal function in critically ill patients by bedside ultrasound
10.3760/cma.j.cn115682-20210711-03064
- VernacularTitle:床旁超声评估重症患者胃肠功能的最佳证据总结
- Author:
Mingxi ZHAO
1
;
Jianhua SUN
;
Qi LI
;
Aiping FENG
;
Zenghui LI
;
Zunzhu LI
;
Hongbo LUO
;
Xin LI
;
Xiaoting WANG
;
Qing ZHANG
Author Information
1. 中国医学科学院北京协和医院重症医学科，北京 100730
- Keywords:
Ultrasonography;
Critically ill patients;
Gastrointestinal tract;
Enteral nutrition;
Evidence-based nursing
- From:
Chinese Journal of Modern Nursing
2022;28(5):602-610
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve, evaluate, and summarize the best evidence for the assessment of gastrointestinal function in critically ill patients by bedside ultrasound.Methods:Guidelines, evidence summaries, group standards, expert consensus, systematic reviews, and randomized controlled trials on the assessment of gastrointestinal function in critically ill patients by bedside ultrasound were retrieved by computer on domestic and foreign guideline websites, society websites and databases based on evidence-based nursing. The search period was from January 1, 2010 to April 30, 2021. The quality of the article was independently assessed by two researchers using the Appraisal of Guidelines for Research and Evaluation Ⅱ and the critical appraisal tool of the Joanna Briggs Institute (JBI) in Australia (2016) . Combined with the judgment of the research team, the data from the article that met the criteria were extracted and the evidence was graded and recommended according to the JBI quality level of evidence system (2014 Edition) .Results:A total of 22 articles were included, involving 5 guidelines, 1 evidence summary, 1 group standard, 6 expert consensuses, 4 systematic reviews, and 5 randomized controlled trials. A total of 33 pieces of evidence were summarized from 6 aspects, namely, the feasibility of nurses applying bedside ultrasound, fundamentals of ultrasound assessment of gastrointestinal tract, ultrasound assessment of gastric contents, ultrasound assessment of gastric motility, ultrasound assessment of bowel, ultrasound guided enteral nutrition program.Conclusions:Nurses who have been systematically trained can use ultrasound to assess gastrointestinal function in critically ill patients in real time. Ultrasound-guided enteral nutrition for critically ill patients needs to be standardized and improved, and many studies need to be carried out.
