TY - JOUR T1 - Not measuring residual gastric volumes in preterm infants can increase the progression of enteral nutrition with earlier discharge from hospital JF - Archives of disease in childhood - Education & practice edition JO - Arch Dis Child Educ Pract Ed SP - 77 LP - 78 DO - 10.1136/archdischild-2019-318671 VL - 107 IS - 1 AU - Catherine M Harrison AU - Claire Louise Blythe Y1 - 2022/02/01 UR - http://ep.bmj.com/content/107/1/77.abstract N2 - Review of: Parker LA, Weaver M, Murgas Torrazza, et al. Effect of gastric residual evaluation on enteral intake in extremely preterm infants a randomised clinical trial. JAMA Pediatrics 2019;173:534–43. Design: Single centre randomised clinical trial. Allocation: Low risk of randomisation bias, used computer generated sequencing. Unclear risk of allocation concealment bias, not clearly described. Blinding: Not blinded. Setting: Level 4 neonatal unit (regional neonatal intensive care unit), USA. Patients: Infants born at ≤32 weeks’ gestation and ≤1250 g due to be fed human milk. Babies with congenital anomalies, chromosome abnormalities or a gastro-intestinal condition were excluded. Participation stopped if stage II or greater necrotising enterocolitis (NEC) or spontaneous intestinal perforation diagnosed. Intervention: Residuals group (74 infants) underwent prefeed gastric residual measurement and this was factored in clinical decisions using the NICU nutritional guidelines. Comparison: No measurement of residuals (69 infants). Feeds stopped if episode of emesis or increased abdominal circumference >2 cm. Gastric content aspiration not used to verify tube placement. Outcomes: Primary: weekly enteral intake in ml/kg for … ER -