Gastric US in ICU Patient

Dartmouth Health

Status: Enrolling

Conditions: Surgery; Critical Illness; Aspiration Pneumonia

Treatments: Diagnostic Test: Gastric Ultrasound

Study type: Interventional

Funder types: Other

Identifiers

NCT05526105

STUDY02001249

Details and patient eligibility

About

This is a case series study using gastric ultrasound in critically ill patients to quantify gastric residual volumes to compare the efficacy of different NPO protocols.

Enrollment: 50 estimated patients

Sex: All

Ages: 18 to 100 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients age 18 or older, admitted to the ICU, requiring general anesthesia or sedation for a procedure with a pre-existing, cuffed endotracheal or tracheostomy tube. Most patients admitted to the ICU would be unable to consent.

Exclusion criteria

• Known upper gastrointestinal anatomical problem that would prevent accurate estimation of gastric volume, gastric perforation, pregnancy beyond the first trimester.
• Lack of a pre-existing, cuffed endotracheal or tracheostomy tube.

Trial design

Primary purpose: Screening

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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50 participants in 2 patient groups

Standard ASA NPO Protocol

Experimental group

Description:

Patients will be made NPO at midnight prior to date of surgery.

Treatment:

Diagnostic Test: Gastric Ultrasound

Liberal Feeding Protocol

Experimental group

Description:

Patients will be fed enterally up until call to OR at which time their stomachs will be decompressed with a pre-existing gastric tube.

Treatment:

Diagnostic Test: Gastric Ultrasound