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Rate of Postpyloric Migration of Spiral Nasojejunal Tubes in Brain Injured Patients

C

Capital Medical University

Status

Completed

Conditions

Acute Brain Injury

Treatments

Procedure: placement of spiral nasojejunal tube

Study type

Observational

Funder types

Other

Identifiers

NCT00562146
BJTTH-ICU-07-011

Details and patient eligibility

About

The success rate of unguided nasojejunal feeding tube insertion will be determined in acute brain injured patients. Factors influencing tube self-progression will be evaluated.

Full description

Nutrition support is important in brain injured patients. Several studies have shown that small bowel feeding compared with gastric feeding may be associated with a reduction in pneumonia in critically ill patients. The Canadian Clinical Practice Guidelines recommended that small bowel feedings should be considered for patients at high risk for intolerance to enteral nutrition.

There are several methods to place postpyloric tube, but there is a high success rate with endoscopic or radiological assistance. However, they are time consuming procedures, which is of limited availability at bedside and requires trained staff.

Nasojejunal tube with spiral end (Flocare Bengmark NJ tube) has been used for bedside placement for 10 years. But only limited data are available for success rate, especially in brain injured patients. The aim of this study is to access the success rate and influencing factors of spiral end nasojejunal tube in such a population.

Enrollment

120 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Acute brain injured patients admitted to Neuro-ICU

Exclusion criteria

  • Patients' stay in ICU shorter than 3 days
  • Patients with contraindication to naso-feeding tube placement

Trial design

120 participants in 2 patient groups

1
Description:
Successful progression of spiral tube to duodenum within 3 days
Treatment:
Procedure: placement of spiral nasojejunal tube
2
Description:
Failure of progression to duodenum within 3 days
Treatment:
Procedure: placement of spiral nasojejunal tube

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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