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Comparison of starting diet by conventional method vs Ultrasound scan measurement of stomach volume in improving feed tolerance in Intensive Care Unit

Comparison of Initiation of Enteral Nutrition Based on Ultrasonographic Measurement of Gastric Residual Volume vs. Conventional Method in Achieving Target Caloric Requirement in Critically Ill Adults-A Randomized Double-Blinded Study

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2022/11/047628
Enrollment
240
Registered
2022-11-24
Start date
Unknown
Completion date
Unknown
Last updated
2023-01-09

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

Conditions

Health Condition 1: O- Medical and Surgical

Interventions

Intervention1: USG guided initiation of Enteral feed: Enteral feed will be administered 200 ml every 4th hourly after ensuring the feed tolerance till patient resumes oral intake Control Intervention1

Sponsors

Jawaharlal Institute of Postgraduate Medical Education and Research
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1) Critically ill adult patients (above 18 years), meeting the criteria to initiate nutritional support through NG tube will be recruited in this study.

Exclusion criteria

Exclusion criteria: 1) Gastrointestinal (GI) haemorrhage 2) Upper GI surgery 3) Enteral feeding via jejunostomy or gastrostomy 4) Pregnant women 5) On more than one Vasopressor therapy or Noradrenaline infusion of >0.1 µg/kg/min

Design outcomes

Primary

MeasureTime frame
To compare the percentage of target caloric requirement achieved by day 3 of initiation of enteral feed in critically ill patients between the groups initiated on enteral feed based on Ultrasound assessment and conventional methodTimepoint: On Day 3 after initiation of feed

Secondary

MeasureTime frame
To compare the feed tolerance between the groups (Group U and C) during initial trial feed administration and 6 hours after initiation of feedTimepoint: 6 hours after initiation of feed; To compare the incidence of diarrhoea, vomiting between the groupsTimepoint: Up to 3 days after initiation of feed; To compare the mean difference in antral cross sectional area (CSA) 4 hours after feed between the groups.Timepoint: 4 hours after each feed;To analyse correlation between GRV and NG tube aspirateTimepoint: four hours after administration of trail feed;To compare the incidence of aspiration pneumonitis between the groupsTimepoint: Up to 3 days after initiation of feed;To compare the need of measures initiated to improve tolerance of feed between groupsTimepoint: Up to 3 days after initiation of feed

Countries

India

Contacts

Public ContactDr Pankaj Kundra

Jawaharlal Institute of Postgraduate Medical Education and Research

p_kundra@hotmail.com9367602030

Outcome results

None listed

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