Volume 2 Supplement 1

18th International Symposium on Intensive Care and Emergency Medicine

Open Access

Impact of enteral feeding on gastric tonometry in ICU patients

  • R Rokyta1,
  • V Šrámek1,
  • I Novák1,
  • M Matejovic1,
  • M Nalos1,
  • P Hora1 and
  • Z RuŠavý1
Critical Care19982(Suppl 1):P136

https://doi.org/10.1186/cc265

Published: 1 March 1998

Objective

This study investigates the impact of jejunal and gastric feeding on gastric mucosal pCO2 (PiCO2) in ICU patients.

Patients and methods

Seven stable mechanically ventilated ICU patients receiving ranitidine were studied. Nasojejunal and pHi nasogastric tubes were inserted and piCO2 measured with air tonometry. Jejunal (J) and gastric feeding (G) was performed in 1 h intervals as follows (period 1–9): 1 = baseline; 2 = J 40 ml/h; 3 = J 100 ml/h; 4 = no feeding; 5 = G 40 ml/h; 6 = G 100 ml/h; 7 = G bolus 200 ml; 8 = gastric emptying; 9 = no feeding.

Values are provided as means ± SD. ANOVA for repeated measures and Wilcoxon test were used for statistical analysis; P < 0.05 was considered significant.

Results

Patients remained stable during the study. Baseline pCO2 gap (piCO2-paCO2) was 1.91 ± 0.66 kPa and did not change during the study (ANOVA P = 0.44; Fig. 1)

Marked interindividual variability was observed during gastric feeding mainly.

Results

Conclusion

In ICU patients jejunal feeding does not influence piCO2. The effect of gastric feeding is much less predictable and needs to be tested in each patient.

Authors’ Affiliations

(1)
ICU, Medical Dpt 1, Charles Uni Hosp Pizeñ

Copyright

© Current Science Ltd 1998

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