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Master Thesis

Intérêt de l'échographie gastrique dans l'évaluation du résidu gastrique des patients de réanimation

Abstract : Enteral nutrition (EN) is an important part of the management of patients in intensive care unit. Monitoring tolerance of EN is recommended and can be realized measuring the gastric residual volume (GRV) by suction with a syringe through a nasogastric tube (NGT). This imperfect technique could be replaced by an ultrasound measurement of the antral cross-sectional area (CSA). The aim of our study was to evaluate the correlation between the ultrasound measurement of the CSA and the measurement of the GRV by suction with a syringe. We compared the values of CSA and GRV in 64 patients hospitalized in intensive care unit receiving an EN through a NGT. 96 couples of GRV/CSA were realized. There was a statistically significant correlation between log10 (GRV) and log10 (CSA) (R = 0.78, p <0.0001). Ultrasonographic measurement was possible in 96% of the patients and was considered easy in 79% of cases. Our study suggests that ultrasound measurement of CSA is a reflection of GRV measured by suction with a syringe and could be part of ultrasonographic evaluation used in intensive care unit and avoid realization of gastric aspirations.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-00905723
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Submitted on : Monday, November 18, 2013 - 3:55:22 PM
Last modification on : Friday, May 7, 2021 - 12:52:02 AM
Long-term archiving on: : Saturday, April 8, 2017 - 12:57:06 AM

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Marc Danguy Des Déserts. Intérêt de l'échographie gastrique dans l'évaluation du résidu gastrique des patients de réanimation. Médecine humaine et pathologie. 2013. ⟨dumas-00905723⟩

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