Health Condition 1: I95- Hypotension Health Condition 2: R098- Other specified symptoms and signsinvolving the circulatory and respiratory systems
Conditions
Interventions
Intervention1: Targeted enteral feeding: ? Full feed volume: 80-100% of fluid requirement volume calculated by holiday-segar formula
? 20 percent of the full feed volume for a day will be calculated
Sponsors
Jawaharlal Institute of Postgraduate Medical Education and Research
Eligibility
Inclusion criteria
Inclusion criteria: 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
Exclusion criteria
Exclusion criteria: 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 5mmol/L or Rising trend in serum lactate ( >2mmol/L in last 6 hrs)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to reach full feedsTimepoint: Time to reach full feeds in ICU | — |
Secondary
| Measure | Time frame |
|---|---|
| Adverse eventsTimepoint: ICU discharge;All cause mortality in ICUTimepoint: Death;Proportion of children on full feeds by day 7Timepoint: 7 day;Proportion of children who are wasted on discharge/day 14Timepoint: 14 day, Discharge;Total kcal/kg delivered in 7 daysTimepoint: 7 day | — |
Countries
India
Contacts
Public ContactNarayanan P
Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry
Outcome results
None listed