title: Bowel sounds and monitoring gastrointestinal motility in critically ill patients.
abstract: OBJECTIVE
  The aims of this study were to determine whether bowel sounds auscultation is necessary in critically ill patients and to forecast the prospect of bowel sounds as a monitoring measurement in the intensive care unit (ICU).
  
  
  BACKGROUND
  It has been suggested recently that bowel sounds are not an objective indicator of bowel motility and that auscultation should be abandoned. This has led to confusion as to whether bowel sounds auscultation should be continued in the ICU.
  
  
  METHODS
  A literature review of articles about bowel sounds and monitoring gastrointestinal motility in critically ill patients was conducted.
  
  
  RESULTS
  At present, there are no more suitable indicators for bedside monitoring of bowel function and motility than bowel sounds. Although they lack objectivity, bowel sounds give a lot of useful information about gastrointestinal motility. The problems are how to improve practice and assessment standards and enhance the precision of auscultation devices.
  
  
  CONCLUSIONS
  Bowel sounds auscultation is necessary in the ICU. Effective application in critically ill patients requires reasonable practice and precise instrumentation.
authors.affiliation: Postgraduate Medical College, Beijing, China.
authors.forename: Bing
authors.initials: B
authors.lastname: Li
authors.forename: Jian-Rong
authors.initials: JR
authors.lastname: Wang
authors.forename: Yan-Lan
authors.initials: YL
authors.lastname: Ma
mesh_terms: D001314:Auscultation; D003422:Critical Care / Q000379:methods*; D016638:Critical Illness; D005769:Gastrointestinal Motility; D006801:Humans; D007362:Intensive Care Units; D008991:Monitoring, Physiologic