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Gastric Ultrasound in Tube Fed Intubated Patients

Conditions
Critical Illness
Interventions
Diagnostic Test: Ultrasound
Registration Number
NCT04612348
Lead Sponsor
Joseph D. Tobias
Brief Summary

This study will use point of care (POC) gastric ultrasound to confirm that nasojejunal tube (NJ) feeds result in minimal to no gastric content and therefore are low risk for aspiration and should be allowed at the very least to decrease the time that enteral feeds need to be held prior to a procedure or if they need to be held at all. This would allow critically ill children to receive the nutrition that they need to heal for longer periods of time. Using ultrasound would also potentially eliminate the need for exposure to x-rays to confirm tube placement. Most ICUs have a POC ultrasound machine so this would be any easy tool to access to improve patient care.

Detailed Description

Not available

Recruitment & Eligibility

Status
ENROLLING_BY_INVITATION
Sex
All
Target Recruitment
200
Inclusion Criteria
  • all PICU patients intubated < 7 days that are receiving NJ or NG feeds
Exclusion Criteria
  • patients that cannot be moved
  • patients with significant GI conditions affecting motility
  • patients intubated for more than seven days

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
NJ tube fedUltrasoundCritically ill children receiving nutrition via a nasojejunal feeding tube.
NG tube fedUltrasoundCritically ill children receiving nutrition via a nasogastric feeding tube.
Primary Outcome Measures
NameTimeMethod
Gastric contentsBaseline (Day 1)

Amount of gastric contents measured by ultrasound.

Secondary Outcome Measures
NameTimeMethod
Gastric contentsDay 5 (if still intubated & being tube fed)

Amount of gastric contents measured by ultrasound.

Trial Locations

Locations (1)

Nationwide Children's Hospital

🇺🇸

Columbus, Ohio, United States

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