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Detection of Gastric distension with use of oxygen delivery device in critically ill patients

Gastric Insufflation with High Flow Nasal Cannula Oxygen Therapy in patients admitted in Adult Intensive Care Unit: an Observational Study

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
CTRI
Registry ID
CTRI/2021/03/031608
Enrollment
76
Registered
2021-03-01
Start date
Unknown
Completion date
Unknown
Last updated
2021-11-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: J470- Bronchiectasis with acute lower respiratory infection Health Condition 2: J441- Chronic obstructive pulmonary disease with (acute) exacerbation Health Condition 3: J128- Other viral pneumonia

Interventions

Intervention1: NIL: NIL

Sponsors

AIIMS Jodhpur
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Adult patients aged above 18 yrs Tachypnoeic(RR >20) and in need of oxygen therapy (ie. SPO2 <92) recognised by intensivist

Exclusion criteria

Exclusion criteria: Pregnant women Patients with severe respiratory failure requiring immediate tracheal intubation and mechanical ventilation SPO2 >92% Obese patients and postoperative patients after upper abdominal surgery, where abdominal ultrasound could be difficult Patients on continuous Rhyles tube aspiration Patients with any serious cardiovascular, renal or hepatic illness Patients with abnormalities of face or who are post surgery of face, nose or airway that preclude an appropriate fitting nasal cannula Psychiatric, agitated or non cooperative patients Patients with altered sensorium

Design outcomes

Primary

MeasureTime frame
To compare change in the gastric volume after application of HFNC from baseline gastric volume using ultrasoundTimepoint: 0 min, 10 minutes,20 minutes,30 minutes—

Secondary

MeasureTime frame
To detect the increase in peristaltic activity of gastric antrum, as a surrogate marker for gastric insufflationTimepoint: 0 min, 10 minutes;To find the correlation between flow rates and increase in gastric volumeTimepoint: 0 min, 10 minutes,20 minutes,30 minutes;To observe effect of HFNC on vitals( heart rate, Blood pressure, respiratory rate, SPO2), ABG parameters (PaCO2, PaO2, PaO2/FiO2, SaO2) and patient comfortTimepoint: 0 min, 30 minutes;To observe the incidence of "gastric air distension" defined by qualitative ultrasound as a distended antrum with air content that blurs the posterior gastric wallTimepoint: 0 min, 10 minutes,20 minutes,30 minutes—

Countries

India

Contacts

Public ContactDr Anjana Ramachandran

All India Institute of Medical Sciences, Jodhpur

pk_bhatia@yahoo.com9829159665

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026