EAL

Intervention
What gastric volume level should be reached before stopping/holding enteral nutrition in critically ill patients?
- Conclusion
  Research supports that accepting an isolated GRV of 250 mL, and evaluating the clinical situation with two or more consecutive volumes of 250 mL before stopping/holding EN in critically ill patients, had benefit in terms of greater formula intake.
- Grade: III
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
  - High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
  - Moderate (B) means we are moderately confident in the effect estimate;
  - Low (C) means our confidence in the effect estimate is limited;
  - Very Low (D) means we have very little confidence in the effect estimate.
  - Ungraded means a grade is not assignable.
Monitoring and Evaluation
What is the relationship between gastric residual volume and aspiration pneumonia in critically ill patients?
- Conclusion
  Adequately powered trials have not been found to evaluate the relationship between GRV and aspiration pneumonia in critically ill patients.
- Grade: III
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
  - High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
  - Moderate (B) means we are moderately confident in the effect estimate;
  - Low (C) means our confidence in the effect estimate is limited;
  - Very Low (D) means we have very little confidence in the effect estimate.
  - Ungraded means a grade is not assignable.