The goals of this randomized controlled trial are: 1. To determine the mean gastric residual volume in ICU admitted adult patients before and after intervention. 2. To compare the gastric residual volume between the intervention and control group. Participants will be randomized in two groups (intervention and control group) Intervention group: The intervention period will be 3 days for intervention group. These patients will receive 20 minutes of abdominal massage twice a day, and the interval between two massages will be 2 hours. The outcome variable variable gastric residual volume will be measured every day, before the intervention and 1 hour after the second massage. the GRV will be measured in ml (via feeding syringe) and marked on checklist. Control group The control group will receive standard/usual care The abdominal massage technique will consist of five steps based on tensegrity principle
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Gastric Residual Volume
Timeframe: before and after intervention ( 3 hours duration)