Gastric Residual Volume

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This video provides an overview of gastric residual volume including an explanation of how they are checked, why they are checked, and the current guidelines for checking them.
You will see that routine measurement of gastric residual volume, which is sometimes called GRV, is no longer recommended by organizations like the American Society for Parenteral and Enteral Nutrition, the Society for Critical Care Medicine, and the American College of Gastroenterology.
This is because the gastric residual volume isn't strongly associated with outcomes like aspiration pneumonia, duration of mechanical ventilation, and mortality.
Nevertheless, gastric residual volume continues to be checked in most hospitals in the United States!
I suspect this will change in the next 5 to 10 years 🤓
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📚 Chapters for this video:
0:00 What is a gastric residual volume?
0:54 How to check the gastric residual volume
2:07 Statistics for checking gastric residual volume in the U.S.
5:24 Limitations of checking the gastric residual volume
9:42 Gastric residual volume guidelines
13:32 Summary of gastric residual volume
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NEW BOOK: cnu.sellfy.store/ ALSO ON AMAZON: a.co/d/6C6lXGa ________________________________ This video was recorded at a speed to accommodate all learners. If you're a fast learner, listen at 1.25x or 1.5x by adjusting the playback speed under Settings.

[@christinayang2658]

This was awesome information ! Thank you from a current dietetic intern!

[@osvn5998]

Good video, thanks

[@clinicalnutritionuniversity]

Thank you!

[@muntahaaltmaimi8891]

Good Thank you

[@clinicalnutritionuniversity]

Happy to hear you liked this one! Thank you for watching it!

[@shamimamueenideen3164]

Do you return the contents to the stomach if the volume is safe?

[@clinicalnutritionuniversity]

Yes. Most facilities will have a formal policy that outlines thresholds for keeping and discarding the contents. It is common for it to look like this: (1) Anything 250 mL, 250 mL is reinserted and the rest is discarded.

[@mollyayiemba2897]

Thanks alot for your lectures kindly can you review the ESPEN guidelines also

[@clinicalnutritionuniversity]

Since I practice in the USA, I have very limited exposure to the ESPEN guidelines and have never applied them before! I may cover them in the future, but for now I don’t think I’m the best person to do it.