Targeted versus trophic enteral feeding on achieving nutritional goals in children on moderate dose of vasopressors – A pilot randomized controlled trial

Jawaharlal Institute of Postgraduate Medical Education and Research0 个研究点目标入组 0 人开始时间: 待定最近更新: 2024年4月29日

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•Children in the age group 1 month to 15 years admitted in PICU with shock, post resucitation and 1) On vasopressors of noradrenaline equivalent dose 0.1 to <0.3ug/kg/min, 2) No increase in inotropes/vasopressors in the previous 6 hrs or on tapering dose of inotropes/vasopressors, 3)No fluid boluses received for resuscitation in the previous 6 hours,

•Children with 1) Burns/ Gastrointestinal surgery/ Abdominal Trauma/ Intraabdominal hypertension/ Abdominal compartment syndrome/Peritonitis
•2) Abnormal abdominal Symptoms/Signs,a)Progressive abdominal distension – Increase in abdominal girth measured (at the level of umbilicus) more than 2 cm in last 6 hrs, b)Absent bowel sounds, c)Persistant vomiting – More than 2 episodes of vomiting in last 6 hours, d)Altered GI aspirates – Bloody/Greenish/Greenish yellow/ Brownish aspirate in nasogastric/orogastric tube in last 6 hrs, e) Hematemesis in last 6 hrs, 3)AKI/SIADH/ other indications requiring fluid restriction of <80% maintenance, 4) On post pyloric feeding, 5) Serum lactate > 5mmol/L or Rising trend in serum lactate ( >2mmol/L in last 6 hrs)

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