self-propelled feeding tubes insertion
Conditions
Interventions
Prokinetic agents combined with remedial bedside blind intubation group:Prokinetic agents combined with remedial bedside blind intubation
Prokinetic agents group:Prokinetic agents (metoclopramide hydrochloride injection or domperidone suspension)
Sponsors
Guangdong General hospital, Guangdong Academy of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. aged older than 18 years; 2. admitted to ICU; 3. requiring enteral nutrition support for more than 3 days; 4. gastric residual volume increased (single measurement > 150ml or cumulative volume in 12 hours > 500ml); 5. informed consent has been signed.
Exclusion criteria
Exclusion criteria: 1. Indications of percutaneous gastrostomy or jejunostomy; 2. esophageal varices or strictures, or previous major gastro-esophageal surgery (for example; 3. activity of the upper digestive tract hemorrhage; 4. serious injury or stenosis of nasopharynx; 5. severe coagulation disorder; 6. malignant tumor, peptic ulcer of the stomach or intestinal mechanical obstruction; 7. pregnant; 8. contraindication of domperidone and metoclopramide; 9. history of allergy to meglumine diatrizoate.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| success rate of post-pyloric placement of spiral nasaljejunal tubes; | — |
Secondary
| Measure | Time frame |
|---|---|
| time for tube insertion;attempts;time between decision of tube placement and the beginning of enteral nutrition;X rays related to tube placement;cost related to tube placement; | — |
Countries
China
Contacts
Public ContactChunbo Chen
Guangdong General Hospital, Guangdong Academy of Medical Sciences
Outcome results
None listed