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Randomised controlled trial
Abdominal massage may decrease gastric residual volumes and abdominal circumference in critically ill patients
  1. Malissa Warren1,2
  1. 1Veterans Administration Portland Health Care System (VAPORHCS);
  2. 2Oregon Health Sciences University General Surgery Department
  1. Correspondence to: Malissa Warren, VAPORHCS, P5NFS, 3710 SW US Veterans Hospital Road, Portland, OR 97207-1034, USA; Malissa.Warren{at}va.gov

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Implications for practice and research

  • Abdominal massage may decrease gastric residual volumes (GRVs) and abdominal circumference over time in a select medicine critical care unit population.

  • Research and standardisation for the practice of abdominal massage may provide clinicians additional tools for improving overall gastrointestinal (GI) function and feeding in the critically ill.

Context

Bowel dysfunction is common in the critically ill, affecting up to 50% of patients.1 Although early enteral feeding is a primary recommendation for mechanically ventilated critically ill patients it may also be considered a risk factor for aspiration …

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