UNASSIGNED: Early enteral nutrition (EN) is consistently recommended as first-line nutrition therapy in @entity3124 @entity1 since it favorably alters outcome, providing both nutrition and nonnutrition benefits. However, @entity3124 @entity1 receiving mechanical ventilation are at risk for regurgitation, @entity358 , and eventually @entity2489 ( @entity2489 ). EN may increase these risks when @entity344 is present. Gastric residual volume ( @entity12268 ) is considered a surrogate parameter of @entity344 during the progression of enteral feeding in the early phase of @entity3124 and beyond. By monitoring @entity12268 , clinicians may detect @entity1 with delayed @entity356 earlier and intervene with strategies that minimize or prevent @entity2489 as one of the major risks of EN. The value of periodic @entity12268 measurements with regard to risk reduction of @entity2489 incidence has frequently been questioned in the past years. Increasing the @entity12268 threshold before interrupting gastric feeding results in marginal increases in EN delivery. More recently, a large randomized clinical trial revealed that abandoning @entity12268 monitoring did not negatively affect clinical outcomes (including @entity2489 ) in mechanically ventilated @entity1 . The results have revived the discussion on the role of @entity12268 monitoring in @entity3124 , mechanically ventilated @entity1 receiving early EN. This review summarizes the most recent clinical evidence on the use of @entity12268 monitoring in @entity3124 @entity1 . Based on the clinical evidence, it discusses the pros and cons and further addresses whether @entity12268 is a dead marker or still alive for the nutrition management of @entity3124 @entity1 .

Gastric Residual Volume in @entity3124 XXXX : A Dead Marker or Still Alive?

@entity1 :: ('9606', 'Species') :: ['patients'] @entity3124 :: ('MESH:D016638', 'Disease') :: ['critical illness', 'critically ill'] @entity344 :: ('MESH:D005767', 'Disease') :: ['gastrointestinal (GI) dysfunction', 'GI dysfunction'] @entity2489 :: ('MESH:D053717', 'Disease') :: ['ventilator-associated pneumonia', 'VAP'] @entity358 :: ('MESH:D008171', 'Disease') :: ['pulmonary aspiration'] @entity356 :: ('MESH:D013274', 'Disease') :: ['gastric emptying'] @entity12268 :: ('47740', 'Species') :: ['GRV']
@entity1 :: (9606,Species) :: ['Patients']
