TY  - CHAP
M1  - Book, Section
TI  - Gastric Residuals
A1  - Gomella, Tricia Lacy
A1  - Eyal, Fabien G.
A1  - Bany-Mohammed, Fayez
Y1  - 2020
N1  - 
T2  - Gomella's Neonatology: Management, Procedures, On-Call Problems, Diseases, and Drugs, 8e
AB  - The  nurse  alerts  you  that  a  bloody  gastric  residual  has  been  obtained  in  an  infant.  Gastric  residuals  (also  known  as  a  gastric  aspirates)  can  be  abnormal  in  appearance  or  abnormal  in  volume.  Gastric  aspiration  is  a  procedure  by  which  the  stomach  is  aspirated  with  an  oral  or  nasogastric  tube.  The  procedure  is  typically  performed  before  each  feeding  or  at  a  predetermined  interval  during  continuous  feeding  to  verify  correct  orogastric/nasogastric  tube  placement,  to  assess  if  feedings  are  being  tolerated  and  digested  (feeding  intolerance),  and  to  prevent  aspiration  of  contents  of  the  stomach  (prevent  ventilator-associated  pneumonia).  The  color  is  noted.  The  amount  of  residual  is  measured  and  recorded  as  the  gastric  residual.  Once  a  standard  procedure  in  the  neonatal  unit,  performing  routine  gastric  residuals  is  now  controversial  because  of  the  lack  of  consensus  and  supporting  evidence.  Because  there  is  lack  of  evidence  and  recommendations,  each  neonatal  intensive  care  unit  (NICU)  should  develop  a  standardized  protocol  to  determine  the  role  of  gastric  residuals  in  their  unit.  Recent  reviews  have  found  the  following:  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - accesspediatrics.mhmedical.com/content.aspx?aid=1168356757
ER  -