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March 2013 pulmonary journal club

Keywords: ventirlator associated pneumonia , gastric volume , aspiration , gastric residual volume

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No abstract available. Article truncated at 150 words. Reignier J, Mercier E, Le Gouge A, Boulain T, Desachy A, Bellec F, Clavel M, Frat JP, Plantefeve G, Quenot JP, Lascarrou JB; Clinical Research in Intensive Care and Sepsis (CRICS) Group. Effect of not monitoring residual gastric volume on risk of ventilator-associated pneumonia in adults receiving mechanical ventilation and early enteral feeding: a randomized controlled trial. JAMA. 2013;309(3):249-56. The March pulmonary journal club reviewed the article looking at the effect of gastric residual volume and ventilator associated pneumonia. Most of us would agree that enteral nutrition in the critically ill patient is important but how early and how much is still debatable. In many institutions gastric residual volumes are used to assess gastric motility and help guide rate and cessation of enteral nutrition. This study evaluated the effect of not monitoring gastric residual volume and its effect on ventilator associated pneumonia. The study was a randomized multicenter non- inferiority …

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