Utility of POC Gastric Ultrasound in Confirming Stomach is Empty in Intubated Patients Fed Gastrically (NG) Versus Transpylorically (NJ) to Ensure Low Risk of Aspiration.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 45
- 试验地点
- 1
- 主要终点
- Gastric contents
研究概览
简要总结
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Prospective
入排标准
- 年龄范围
- — 至 18 Years(Child, Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •all PICU patients intubated < 7 days that are receiving NJ or NG feeds
排除标准
- •patients that cannot be moved
- •patients with significant GI conditions affecting motility
- •patients intubated for more than seven days
结局指标
主要结局
Gastric contents
时间窗: Baseline (Day 1)
Amount of gastric contents measured by ultrasound.
Average Gastric Volume
时间窗: Baseline - 5 days
Median volume (mL/kg) of gastric contents measured by ultrasound.
次要结局
- Gastric contents(Day 5 (if still intubated & being tube fed))
- Risk of Aspiration(Baseline - 5 days)
研究者
Joseph D. Tobias
Chair, Dept. of Anesthesiology & Pain Medicine
Nationwide Children's Hospital
