self-propelled feeding tubes insertion
Conditions
Interventions
single arm:Prokinetic agents combined with remedial bedside blind intubation
Sponsors
Guangdong Provincal People's Hospital, Guangdong Academy of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. aged over 18 years; 2. admitted to ICU; 3. requiring enteral nutrition support; 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; 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 erythromycin 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 |
|---|---|
| post-D1 placement of feeding tubes;post-D2 placement of feeding tubes;post-D3 placement of feeding tubes;proportion of proximal jejunum placement;time for tube insertion;attempts;adverse events;time between decision of tube placement and the beginning of enteral nutrition;Changes in heart rate;Changes in respiratory rate;Changes in systolic blood pressure;Changes in diastolic blood pressure;Changes in mean arterial pressure;Changes in SPO2; | — |
Countries
China
Contacts
Public ContactChen Chunbo
Guangdong General Hospital, Guangdong Academy of Medical Sciences
Outcome results
None listed