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Effect of Two Different Doses of Neostigmine on the Gastric Residual Volume and Aspiration in Critically Ill Patients

Completed
Conditions
Gastric Reflux
Interventions
Registration Number
NCT06687187
Lead Sponsor
Zulekha Hospitals
Brief Summary

A study comparing the effect of two doses of neostigmine on the gastric residual volume in critically ill patients on enteral feeding.

Detailed Description

Participants were categorized into three groups: Group I and Group II received neostigmine 1 mg and 2 mg, respectively, and a control group received 10 ml of normal saline. All participants received an intravenous administration of 10 mg of metoclopramide. GRV was measured every 3 hours before enteral feeding. aspiration through nasogastric (NG) or orogastric (OG) tubes was done before the next due bolus of feeding.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
3
Inclusion Criteria
  • patients with a GRV >120ml
  • a normal heart rateExclusion Criteria
  • absence of comorbidities such as diabetes and renal failure. exclusion Criteria:
  • Patients exhibiting new-onset arrhythmias or heart block
  • hypotension (systolic blood pressure less than 60 mmHg)
  • experiencing active gastrointestinal bleeding or receiving prokinetic medications 8-12 hours before the intervention
  • patients with a history of surgery in the gastrointestinal system in the past two weeks history of extrapyramidal manifestations
  • patients with electrolyte imbalance
  • pregnant patients,
Exclusion Criteria

Not provided

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Group INeostigminereceived neostigmine 1 mg
Group IINeostigminereceived neostigmine 2 mg
Primary Outcome Measures
NameTimeMethod
The risk of aspirationdecember 2022 to may 2024

The risk of aspiration in ICU patients on enteral feeding via vaso-gastric or oro-hastric tubes

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Al-Azhar faculty of medicine

🇪🇬

Cairo, Egypt

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