Rodríguez Acosta, María VictoriaGonzález Correa, José AntonioMoreno Fontiveros, Maria ÁngelesBenítez, José Antonio2016-08-092016-08-092015-06-01Rodríguez Acosta MV, González Correa JA, Moreno Fontiveros MÁ, Benítez JA. Evaluación del test paracetamol en suero como indicador predictivo del vaciado gástrico. Nutr Hosp.2015; 31(6):2648-50.0212-1611http://hdl.handle.net/10668/2330Introducción: la iniciación temprana de la nutrición en pacientes intervenidos quirúrgicamente es fundamental. Objetivos: analizar las técnicas disponibles para evaluar el vaciado gástrico de los pacientes críticos sometidos a cirugía, y que apoyan la decisión de introducirles un tipo de alimentación u otro. Resultados: los test estándar son la medida del volumen residual gástrico y la auscultación, pero no han demostrado gran eficacia. El test de paracetamol parece una buena herramienta predictiva. Permitiría en una hora saber si el vaciado gástrico es adecuado y con ello seleccionar el tipo de nutrición más conveniente (enteral,parenteral) o evaluar el uso de procinéticos. Discusión: el test de paracetamol es una alternativa económica de alto valor predictivo. Existen estudios cuyo objetivo final es valorar el test como indicador de la tolerancia de la nutrición enteral, pero es necesario ampliar y estandarizar su uso para poder incluirlo en los protocolos de actuación hospitalarios.Introduction: according to numerous studies, early initiation of nutrition in patients who have undergone surgery is essential. Objetives: we analyzed the available techniques to assess gastric emptying in critically ill patients undergoing surgery, and holding the decision to introduce the type of feeding route. Results: the measurement of gastric residual volume and auscultation are the standard tests used, but they have not shown great effectiveness. The acetaminophen absorption test seems to be a good predictive tool, that allows in 1 hour whether gastric emptying is right and thus, support the idea of continue with enteral nutrition, change to parenteral nutrition or evaluate the use of prokinetics drugs. Discussion: although there are studies whose final objective is the evaluation of the test as an indicator of tolerance of enteral nutrition, it is necessary to expand and standardize its usspaParacetamol testSimplifiel paracetamol testGastric emptyingGastric residual volumeTest de paracetamolTest de paracetamol simplificadoVaciado gástricoVolumen residual gástricoMedical Subject Headings::Chemicals and Drugs::Organic Chemicals::Amides::Anilides::Acetanilides::AcetaminophenMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Diagnostic Techniques and Procedures::Physical Examination::AuscultationMedical Subject Headings::Diseases::Pathological Conditions, Signs and Symptoms::Pathologic Processes::Disease Attributes::Critical IllnessMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Feeding Methods::Enteral NutritionMedical Subject Headings::Phenomena and Processes::Digestive System and Oral Physiological Phenomena::Digestive System Physiological Phenomena::Digestive System Processes::Gastrointestinal Motility::Gastric EmptyingMedical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::HumansMedical Subject Headings::Chemicals and Drugs::Amino Acids, Peptides, and Proteins::Proteins::Nuclear ProteinsMedical Subject Headings::Anatomy::Digestive System::Gastrointestinal Tract::Upper Gastrointestinal Tract::StomachMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Diagnostic Techniques and Procedures::Diagnostic Techniques, Respiratory System::Respiratory Function Tests::Lung Volume Measurements::Total Lung Capacity::Functional Residual Capacity::Residual Volumeresearch article26040377open access10.3305/nh.2015.31.6.80391699-5198