Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Using Continuous feeding through nasogastric tube for Pediatric ventilated children: Start feeds at 25% of target feed, by continuous infusion of total energy, by infusion pump or gravi
use incremental feeding, advance to 50% on D2 and Final Target on D3,Target feeding is calculated by age appropriate by ICMR-National Institute of Nutrition,India
Control Intervention1: BOLUS Gastric
Sponsors
Department Of Pediatrics
Eligibility
Inclusion criteria
Inclusion criteria: All ventilated children aged from 1 month to 18 years admit in PICU who :- 1. have conserved gastrointestinal function 2. require >72 hours of ventilation 3. were initiated enteral nutrition within the first 48 hours of PICU admission 4. gave consent for participation in the study.
Exclusion criteria
Exclusion criteria: 1.Primary gastrointestinal pathology or surgery; 2. Those with percutaneous gastrostomy tubes, intestinal fistula, obstruction, necrosis, peritonitis . 3. EN not started within 48 hours, or EN started prior to PICU admission; 4. Death or discharge before 72 hours of observation; 5. Contraindication to enteral diet; 6. Intolerance to the prescribed nutrients or infusion regimen.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to reach target feed between continuous vs bolus feeding in pediatric ventilated patients. Timepoint: 72 Hours | — |
Secondary
| Measure | Time frame |
|---|---|
| To see following comparisons between continuous and bolus feeding 1. Episodes of intolerance (Vomiting, increased GRV). 2. Incidence of ventilator associated pneumonia. 3. Length of hospital stay. 4. Effect on blood biochemistry ( Na, K, Blood Sugar, PO4 ). 5. Proportion of children with EN failure. 6. Overall effect on mortality.Timepoint: 72 Hours | — |
Countries
India
Contacts
Public ContactDr Soumen Roy Sourov
All India Institute Of Medical Sciences,Rishikesh
Outcome results
None listed