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Reaching a Caloric Goal Using a Gastric Sonar Versus Aspiration of Gastric Contents in Critically Ill Patients Receiving Nasogastric Enteral Nutrition

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Clalit Health Services

Status

Not yet enrolling

Conditions

Enteral Nutrition Intolerance in Critically Ill Patients

Treatments

Diagnostic Test: Ultrasound assessment

Study type

Interventional

Funder types

Other

Identifiers

NCT06557629
0177-24-MMC

Details and patient eligibility

About

Enteral nutrition intolerance, manifested in delayed gastric emptying and high gastric residual, is a common problem in critically ill patients in intensive care, with adverse consequences on patients' outcomes. A decrease in the levels of the ghrelin hormone in these patients may contribute to this problem. The gastric residual test (GRV) is used to assess enteral absorption and gastric motility, but the traditional methods can lead to inaccuracy and waste of resources. In recent years, the use of ultrasound (PoCUS) to assess GRV has developed, but its effect on the rate of reaching the caloric goal has not yet been evaluated.

Enrollment

50 estimated patients

Sex

All

Ages

18 to 99 years old

Volunteers

No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria: Adult intensive care patients who recieve enteral nutrition via nasogastric tube -

Exclusion Criteria: 1. Pregnant patient 2. History of bariatric or other gastric surgery 3. Post-operative patients with sub-costal incision 4. Diaphragmatic hernia 5. Patients who recieve parenteral nutrition 6. Technically difficult US exam

Trial design

Primary purpose

Diagnostic

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

50 participants in 2 patient groups

Ultrasound group
Experimental group
Description:
Assessment of gastric residual volume via US
Treatment:
Diagnostic Test: Ultrasound assessment
Aspiration group
No Intervention group
Description:
assessment of gastric residual volume via aspiration of gastric content

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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