Health Condition 1: T889- Complication of surgical and medical care, unspecified
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (2) Critically ill patients (3) Intubated with an endotracheal tube either on mechanical ventilation or T-piece (4) Receiving enteral feeding for the duration of more than 48 hours (5) Eligible for elective extubation
Exclusion criteria
Exclusion criteria: 1. Previous gastric surgery, known gastric anomaly 2. Known GERD (Gastric Esophageal Reflux Disease). 3. Pregnant patients, 4. Morbidly obese patients, 5. Patients who do not wish to consent for study 6. Patients in whom non-invasive (NIV) is indicated immediately after extubation (such as COPD, cardiomyopathy)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To determine the prevalence of various stomach grades using the Perlas three-point grading system on GUS before extubation in critically ill patients receiving enteral nutrition.Timepoint: At Baseline | — |
Secondary
| Measure | Time frame |
|---|---|
| 3. To determine the frequency of aspiration/vomiting in both groups of patients post extubationTimepoint: At baseline;To correlate CSA of antrum using USG with volume of NG aspirate of antrum using USGTimepoint: At baseline;To determine the prevalence of high GRV (defined as GRV150 mL.12The prevalence of high GRV will be determined as (Number of patient with high GRV)/(Total number of patients included into study during study period) X 100 Timepoint: At baseline;To estimate the cross-sectional area (CSA) of antrum using GUS before extubation in all critically ill patients receiving enteral nutrition.Timepoint: At baseline | — |
Countries
India
Contacts
Rajdendra Institute of Medical Sciences