IRCT2017062134641N2 IRCT 2017-07-26 Vice Chancellor for Research, Kermanshah University of Medical Sciences The effect of abdominal massage on the gastric residual valume The effect of abdominal massage on gastric residual volume and abdominal circumference of patients a 2017-08-11 anticipated 60 Complete https://irct.ir/trial/26431 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive. N/A Condition 1: Acute pulmonary edema. Condition 2: head trauma. Condition 3: Congestive heart failure. Intervention 1: Intervention group: According to the studies, there are two types of abdominal massage, Classic abdominal massage and massage based on the tensegrity principle. The present study uses massage based on the tensegrity principle. This massage technique consists of 5 steps. The massage started with brushing the skin in the abdominal area, second stage elastic deformation of the thoracolumbar fascia was performed in the form of displacement, third stage The abdominal integuments were elastically deformed by kneading, The fourth stage involves shock movements along the armpit from top to bottom and down to the top and The last stage contains Elastic deformation of the muscles in the intercostal spaces. The patient's position is asleep to the back while undergoing massage. The angle between the bed and the patient's head is 30 to 45 degrees, and the patient's legs are placed on a pillow. This condition helps to relax the abdominal muscles. Massage is runs twice for each patient, Massage session lasts about 20 minutes in each day. This action runs over 3 consecutive days. every day, before and after the massage, gastric residual valuom and abdominal circumference Calculated and Compare. For abdominal circumference measurement, a 150-cm flexible measure will be used. The beginning point for the measurement is the umbilicus. Intervention 2: Control group: The control group will receive usual care contain; Change position, Lavage, Gavage and etc.