Measuring gastric residual volume in critically Ill children using ultrasound /
قياس المتبقى من الطعام بالمعده فى الاطفال ذوى الحالات الحرجة باستخدام السونار
Samar Mohamed Mohamed Elsawey ; Supervised Maha Fathy Shiba , Nehal Mohamed Elkoofy , Heba Fadel Elgebaly
- Cairo : Samar Mohamed Mohamed Elsawey , 2021
- 141 P. : charts , facsimiles ; 25cm
Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Pediatrics
Introduction: Gastric dysmotility has important implications for the critically ill child. Gastric dysmotility may be associated with gastroesophageal reflux, which might increase the risk for aspiration of gastric contents and subsequent ventilator-associated pneumonia (VAP) in mechanically ventilated patients. Ultrasound measurements of the stomach size and antrum cross-sectional area have been used to assess GRV.These types of studies are mainly done by anesthesia department to assess gastric volume before operation for fear of aspiration and small number of studies were done at adult ICU mainly and few in pediatric patients.We aimed tomeasure the gastric residual volume (GRV) in critically ill infants by ultrasound .To evaluate the effect of probiotics fortified formulas versus standard formula in critically ill infants on GRV. Patients and methods: This was a Cross-sectional case-control study conducted on54 critically ill mechanically ventilated infants on aged between (2 months-2 years) and 30 age and sex matched healthy non critical infants as a control. Results: The mean age was 8.3 months months. There was a statistically significant difference between critical infants and healthy controls in gastric residual volume.Conclusion:There was no statistically significant difference between probiotics fortified formulas versus standard formula in critically ill infants