Enteral feeding in the critically ill comparison between the supine and prone positions a prospective crossover study in mechanically ventilated patients.docVIP

下载本文档

1
0
约2.27万字
约 5页
2017-05-16 发布于上海
举报
版权申诉

Enteral feeding in the critically ill comparison between the supine and prone positions a prospective crossover study in mechanically ventilated patients.doc

1、本文档共5页，可阅读全部内容。
2、原创力文档（book118）网站文档一经付费（服务费），不意味着购买了该文档的版权，仅供个人/单位学习、研究之用，不得用于商业用途，未经授权，严禁复制、发行、汇编、翻译或者网络传播等，侵权必究。
3、本站所有内容均由合作方或网友上传，本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺！文档内容仅供研究参考，付费前请自行鉴别。如您付费，意味着您自己接受本站规则且自行承担风险，本站不退款、不进行额外附加服务；查看《如何避免下载的几个坑》。如果您已付费下载过本站文档，您可以点击这里二次下载。
4、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等，请点击“版权申诉”（推荐），也可以打举报电话：400-050-0827(电话支持时间：9:00-18:30)。
5、该文档为VIP文档，如果想要下载，成为VIP会员后，下载免费。
6、成为VIP后，下载本文档将扣除1次下载权益。下载后，不支持退款、换文档。如有疑问请联系我们。
7、成为VIP后，您将拥有八大权益，权益包括：VIP文档下载权益、阅读免打扰、文档格式转换、高级专利检索、专属身份标志、高级客服、多端互通、版权登记。
8、VIP文档为合作方或网友上传，每下载1次，网站将根据用户上传文档的质量评分、类型等，对文档贡献者给予高额补贴、流量扶持。如果你也想贡献VIP文档。上传文档

Enteral feeding in the critically ill comparison between the supine and prone positions a prospective crossover study in mechanically ventilated patients

Critical Care August 2001 Vol 5 No 4 van der Voort and Zandstra Research article Enteral feeding in the critically ill: comparison between the supine and prone positions A prospective crossover study in mechanically ventilated patients Peter HJ van der Voort* and Durk F Zandstra? *Department of Intensive Care, Medical Centre Leeuwarden-Zuid, Leeuwarden, The Netherlands ?Department of Intensive Care, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands Correspondence: Peter HJ van der Voort, phjvdvoort@wxs.nl Received: 10 November 2000 Revisions requested: 15 March 2001 Revisions received: 13 April 2001 Accepted: 25 April 2001 Critical Care 2001, 5:216–220 This article is online at /content/5/4/220 ? 2001 van der Voort and Zandstra, licensee BioMed Central Ltd (Print ISSN 1364-8535; Online ISSN 1466-609X) Published: 25 May 2001 Abstract Introduction Prone position is effective in mechanically ventilated patients to improve oxygenation. It is unknown if prone position affects gastric emptying and the ability of continued enteral feeding. Aim To determine tolerance of enteral feeding by measuring gastric residual volumes in enterally fed patients during supine and prone positions. Methods Consecutive mechanically ventilated intensive care patients who were turned to prone position were included. All patients were studied for 6 hours in supine position, immediately followed by 6 hours in prone position, or visa versa. The rate of feeding was unchanged during the study period. Gastric residual volume was measured by suctioning the naso-gastric tube after 3 and 6 hours in the same position. Wilcoxon test and regression analysis were used for analysis. Results The median volume of administered enteral feeds was 95 ml after 6 hours in supine position and 110 ml after 6 hours in prone position (P = 0.85). In 10 patients, a greater gastric residual volume was found in prone position. In eight others a greater volume was found in supine position.