Imperial College London
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Professor Chris Gale

Faculty of Medicine, School of Public Health

Professor of Neonatal Medicine
 
 
 
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Contact

 

+44 (0)20 3315 3519christopher.gale Website

 
 
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Location

 

Academic Neonatal Medicine, H4.4,Chelsea and Westminster HospitalChelsea and Westminster Campus

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Summary

 

Publications

Citation

BibTex format

@article{Dorling:2020:10.1136/bmjpo-2019-000601,
author = {Dorling, J and Tume, LN and Arch, B and Woolfall, K and Latten, L and Roper, L and Deja, E and Pathan, N and Eccleson, H and Hickey, H and Brown, M and Beissel, A and Andrzejewska, A and Valla, FV and Gale, C},
doi = {10.1136/bmjpo-2019-000601},
journal = {BMJ Paediatrics Open},
title = {Gastric residual volume measurement in British neonatal intensive care units: a survey of practice},
url = {http://dx.doi.org/10.1136/bmjpo-2019-000601},
volume = {4},
year = {2020}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Objective: Despite little evidence, the practice of routine gastric residual volume (GRV) measurement to guide enteral feeding in neonatal units is widespread.  Due to increased interest in this practice, and to examine trial feasibility, we aimed to determine enteral feeding and GRV measurement practices in British neonatal units.Design & Setting: An online survey was distributed via email to all neonatal units and networks in England, Scotland and Wales. A clinical nurse, senior doctor and dietitian were invited to collaboratively complete the survey and submit a copy of relevant guidelines. Results: 95/184 (51.6%) approached units completed the survey, 81/95 (85.3%) reported having feeding guidelines and 28 guidelines were submitted for review. The majority of units used intermittent (90/95) gastric feeds as their primary feeding method. 42/95 units reported specific guidance for measuring and interpreting GRV.  20/90 units measured GRV before every feed, 39/90 at regular time-intervals (most commonly 4-6 hourly 35/39) and 26/90 when felt to be clinically indicated. Most units reported uncertainty on the utility of aspirate volume for guiding feeding decisions; 13/90 reported that aspirate volume affected decisions ‘very much’. In contrast, aspirate colour was reported to affect decisions ‘very much’ by 37/90 of responding units. Almost half, 44/90, routinely returned aspirates to the stomach. Conclusions: Routine GRV measurement is part of standard practice in British neonatal units, although there was inconsistency in how frequently to measure or how to interpret the aspirate.  Volume was considered less important than colour of the aspirate.
AU  - Dorling,J
AU  - Tume,LN
AU  - Arch,B
AU  - Woolfall,K
AU  - Latten,L
AU  - Roper,L
AU  - Deja,E
AU  - Pathan,N
AU  - Eccleson,H
AU  - Hickey,H
AU  - Brown,M
AU  - Beissel,A
AU  - Andrzejewska,A
AU  - Valla,FV
AU  - Gale,C
DO  - 10.1136/bmjpo-2019-000601
PY  - 2020///
SN  - 2399-9772
TI  - Gastric residual volume measurement in British neonatal intensive care units: a survey of practice
T2  - BMJ Paediatrics Open
UR  - http://dx.doi.org/10.1136/bmjpo-2019-000601
UR  - http://hdl.handle.net/10044/1/80944
VL  - 4
ER  -
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