RT Book, Section A1 Gomella, Tricia Lacy A1 Eyal, Fabien G. A1 Bany-Mohammed, Fayez SR Print(0) ID 1168356757 T1 Gastric Residuals T2 Gomella's Neonatology: Management, Procedures, On-Call Problems, Diseases, and Drugs, 8e YR 2020 FD 2020 PB McGraw-Hill Education PP New York, NY SN 9781259644818 LK accesspediatrics.mhmedical.com/content.aspx?aid=1168356757 RD 2024/03/28 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: