Gastric Residual Volume Assessment in Critically Ill Children: The GASTRIC-PICU Randomized Clinical Trial - PubMed
2 hours ago
- #clinical trial
- #critical care
- #pediatric nutrition
- A randomized clinical trial compared no routine gastric residual volume (GRV) assessment to usual care with GRV assessments every 6 hours in critically ill children on mechanical ventilation.
- The study involved 4700 children aged 0-16 years from 24 PICUs in the UK and Switzerland, with follow-up to 30 days.
- The primary outcome showed noninferiority for survival and days free from mechanical ventilation at 30 days, with similar results in both groups.
- The nutritional outcome showed superiority, with a higher percentage of energy requirements met by 72 hours in the no routine GRV assessment group compared to usual care.
- The findings suggest that omitting routine GRV assessment does not harm clinical outcomes and improves early nutritional achievement in critically ill children.