Ultrasound Assessment of Residual Gastric Content in Critically Ill Patients
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Critically Ill Patients
- Sponsor
- Hôpital Edouard Herriot
- Enrollment
- 61
- Locations
- 3
- Primary Endpoint
- Change in antral area after administration of prokinetic drug
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
This prospective observational study aims to assess whether ultrasound assessment of gastric content may be useful for the monitoring of the gastric residual content in critically ill patients
Investigators
Lionel Bouvet
Principal investigator
Hôpital Edouard Herriot
Eligibility Criteria
Inclusion Criteria
- •Critically ill patients under mechanical ventilation and enteral feeding through a gastric tube since \>48 h
Exclusion Criteria
- •Digestive hemorrhage Contra-indication to prokinetic drugs Enteral feeding through jejunostomy or gastrostomy Pregnancy
Outcomes
Primary Outcomes
Change in antral area after administration of prokinetic drug
Time Frame: Ultrasound assessment of gastric content after reinjection of suctioned gastric content and 1h30 later (1 h after the end of the infusion of prokinetic drug)
If aspirated gastric content volume was \> 250 ml, only 250 ml will be reinjected into the stomach and a prokientic drug will be administered (current protocol in our units). Antral area will be measured prior to and 90 min after the start of the infusion
change in antral cross sectional area measured by ultrasonography after suctioning gastric volume
Time Frame: prior to and immediately after suctioning of gastric content volume through a gastric tube
Ultrasound measurement of antral area and qualitative assessment