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Comparison of starting diet by conventional method vs Ultrasound scan measurement of stomach volume in improving feed tolerance in Intensive Care Unit

Not Applicable
Conditions
Health Condition 1: O- Medical and Surgical
Registration Number
CTRI/2022/11/047628
Lead Sponsor
Jawaharlal Institute of Postgraduate Medical Education and Research
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

1) Critically ill adult patients (above 18 years), meeting the criteria to initiate nutritional support through NG tube will be recruited in this study.

Exclusion Criteria

1) Gastrointestinal (GI) haemorrhage

2) Upper GI surgery

3) Enteral feeding via jejunostomy or gastrostomy

4) Pregnant women

5) On more than one Vasopressor therapy or Noradrenaline infusion of >0.1 µg/kg/min

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To compare the percentage of target caloric requirement achieved by day 3 of initiation of enteral feed in critically ill patients between the groups initiated on enteral feed based on Ultrasound assessment and conventional methodTimepoint: On Day 3 after initiation of feed
Secondary Outcome Measures
NameTimeMethod
To compare the feed tolerance between the groups (Group U and C) during initial trial feed administration and 6 hours after initiation of feedTimepoint: 6 hours after initiation of feed;To compare the incidence of diarrhoea, vomiting between the groupsTimepoint: Up to 3 days after initiation of feed;To compare the mean difference in antral cross sectional area (CSA) 4 hours after feed between the groups.Timepoint: 4 hours after each feed;To analyse correlation between GRV and NG tube aspirateTimepoint: four hours after administration of trail feed;To compare the incidence of aspiration pneumonitis between the groupsTimepoint: Up to 3 days after initiation of feed;To compare the need of measures initiated to improve tolerance of feed between groupsTimepoint: Up to 3 days after initiation of feed
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