Feasibility of Nurse-performed Gastric Ultrasound After Surgery

Recruiting

• Conditions: Point-of-care-ultrasound; Gastric Ultrasonography; Gastric Ultrasound; Gastro Intestinal Surgery; Nursing; Abdominal Surgeries
• Interventions: Diagnostic Test: gastric ultrasonograppy

• Registration Number: NCT06620549
• Lead Sponsor: Radboud University Medical Center

Brief Summary

Gastric ultrasound is a quick and non-invasive tool to evaluate gastric content.

Emptying of gastric content can be affected after abdominal surgery leading to the inability of tolerating oral foods. Gastric content can be assessed by gastric ultrasound and nurses were recently trained to do so in healthy volunteers; however, feasibility of nurse-performed gastric ultrasound after major abdominal surgery is not investigated yet.

This study aims to investigate the feasibility of nurse-performed gastric point-of-care ultrasound after major gastro-intestinal surgery.

Detailed Description

Not available

Study Timeline

• Status Verified: 2024-04
• Study First Submitted: 2024-04-16
• Study Start: 2024-04-22
• Study First Submitted QC: 2024-09-26
• Last Update Submitted: 2024-09-26
• Study First Posted: 2024-10-01
• Last Update Posted: 2024-10-01
• Primary Completion: 2024-11-16
• Study Completion: 2024-12-24

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 135

Inclusion Criteria

• Adult patients (>18 years)

• Underwent gastrointestinal surgery:

  • partial liver resection,
  • colorectal resection,
  • HIPEC,
  • pancreatic procedures including Whipple procedures for pancreatic cancer or pancreatic disorders,
  • other gastro- intestinal abdominal procedures such as resections of sarcomas, correction of herniation.

• Obtained written informed consent.

• Admitted for at least 3 days.

Exclusion Criteria

• patients with open abdominal wounds or with abdominal pain hindering adequate gastric ultrasound
• patients with a Percutaneous Endoscopic Gastrostomy catheter

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Patients after gastro-intestinal surgery	gastric ultrasonograppy	Postoperative patients after gastro-intestinal surgery (e.g. liver, pancreatic, colorectal or hyperthermic intraperitoneal chemotherapy (HIPEC) surgery)

Primary Outcome Measures

Name	Time	Method
Feasibility of gastric ultrasound in terms of practicality	through study completion, for 6 months	Practicality of gastric ultrasound will be measured by the length in minutes.
Feasibility of gastric ultrasound in terms of usability	through study completion, for 6 months	The Dutch-System Usability Scale will be used to assess usability
Feasibility of gastric ultrasound in terms of acceptability perceived by patients	through study completion, for 6 months	Acceptability will be measured by the patients' perspective towards undergoing gastric ultrasound during recovery after surgery.
Feasibility of gastric ultrasound in terms of demand	through study completion, for 6 months	Demand will be measured by indications for gastric ultrasound and the change for successful image acquisition. Indications involve a description of clinical signs that were present during the gastric ultrasound performance. Each attempt for gastric ultrasound will be counted, afterwards adequate images will be counted. Change for succesfull image acquisition wil be calculated by adequate images divided by numbers of attemps. Both values indicate the demand according to its definition
Feasibility of Gastric ultrasound in terms of nurses accuracy and nurses confidence	through study completion, an average of 6 months	The nurses accuracy and nurses' confidence to perform gastric ultrasound will be assessed. Accuracy will be measured by validating the ultrasound findings independently by expert sonographers and the nurses for their peers, determining inter-rater reliability.
Feasibility of gastric ultrasound in terms of acceptability perceived by nurses	through study completion, for 6 months	Acceptability will be measured by the nurses' perspective towards the acceptability of gastric ultrasound. This is measured with the Theoretical Framework of Acceptability-based (TFA) questionnaire which is modified to assess the acceptability of gastric ultrasound during recovery after surgery.

Trial Locations

Locations (2)

RadboudUMC; 🇳🇱 Nijmegen, Gelderland, Netherlands

Radboudumc; 🇳🇱 Nijmegen, Netherlands