Randomised controlled trial
Abdominal massage may decrease gastric residual volumes and abdominal circumference in critically ill patients
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  • Published on:
    Abdominal massage and gastric residual volume on development of ventilator-associated pneumonia
    • Burcu Bayrak Kahraman, RN, PhD, Instructor Gazi University, Faculty of Health Sciences, Department of Nursing
    • Other Contributors:
      • Leyla Özdemir, RN, PhD, Associate Professor

    Dear Editor,

    We read with interest Malissa Warren's comment entitled, “Abdominal massage may decrease gastric residual volumes and abdominal circumference in critically ill patients” for our study, “The impact of abdominal massage administered to intubated and enterally fed patients on the development of ventilator-associated pneumonia: a randomized controlled study,” which was online published in the Evidence-Based Nursing Journal in April.
    It is possible to criticize the fact that we did not include the protocol that we applied for enteral feeding and GRV measurement in the study methodology in detail. However, we want to say that there was no difference between the experimental and control groups in terms of both feeding rate and amount and GRV measurement. Both groups were homogeneous in these respects because this is a randomized controlled study. In the same article, there is evidence that there was no difference between the groups, for which GRV measurement is not suggested in terms of VAP development.1 However, this evidence is still disputed, and the necessity of GRV measurement is supported by some researchers.2 The writer also indicated that abdominal circumference measurement is not reliable in the case of oedema, acid, anasarca and obesity. We want to respecify that both groups body weights are similar (experimental group=69.9 16.7 and control group=69.7 16.3) and no patients with oedema, acid, anasarca were included in this study....

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    Conflict of Interest:
    None declared.