Health Condition 1: O- Medical and Surgical Health Condition 2: C00-D49- Neoplasms
Conditions
Interventions
Intervention1: Non NBM group: Patients will be NBM before extubation. GRV will be assessed at 0,2,4,6 hrs with USG and treating physician can decide extubation at 2,4 and 6 hrs depending on the aspira
Sponsors
Tata Memorial Centre
Eligibility
Inclusion criteria
Inclusion criteria: 1) Greater than 18-year-old patients . 2)Intubated on mechanical ventilation for more than 24hrs 3) Gastric enteral feeding (at least 25percent of prescribed targets )
Exclusion criteria
Exclusion criteria: 1)Routine postoperative patients on ventilation for less than 24hrs 2)Difficult access to perform gastric ultra-sounding (drains, plasters, dressings etc.) 3)Unable to Mobilize to right lateral decubitus position. 4)Anatomical anomaly of the stomach (post surgery) 5)Tracheostomised patients 6)Post pyloric enteral nutrition (jejunal tube)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare grv in pts who are fed until 2hrs before Extubation having usg guided grv measured and compared with pts who are in nbm from 6hrs.Timepoint: At 24 hours | — |
Secondary
| Measure | Time frame |
|---|---|
| To assess the incidence of aspiration pneumonia in patients post extubation determined by USG or New infiltrates on CXR at 24hrsTimepoint: At 24 hours | — |
Countries
India
Contacts
Public ContactDr Pradeepchand Podugu
Tata Memorial Centre
Outcome results
None listed