The Internet Book of Critical Care Podcast

IBCC Episode 103 - Gastrointestinal hypomotility in critical care

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Nov 16, 2020
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INSIGHT

Critical Illness Gastroparesis

  • Critical illness-induced gastroparesis, often overlooked, involves the stomach stopping or slowing function in critically ill patients.
  • This differs from typical gastroparesis and lacks substantial research, borrowing knowledge from other areas.
ADVICE

Gastric Residual Volumes

  • Don't routinely measure gastric residual volumes.
  • Feed patients and observe clinically, measuring residuals only if gastroparesis is suspected.
ADVICE

Post-Pyloric Feeding Tubes

  • Place a small bowel nasal post-pyloric feeding tube for gastroparesis.
  • Bypassing the stomach allows feeding while gastric function recovers.
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