ICU mechanical ventilation patients
Conditions
Interventions
Group A:0am?8am?16pm, head bedside angle (20°±1°) ? (30°±1°) ? (45°±1°)
Group B:0am?8am?16pm, head bedside angle (20°±1°) ? (45°±1°) ? (30°±1°)
Group C:0am ?8am?16pm, head bedside angle (30°±1°) ? (20°±1°) ? (45°±1°)
Group D:0am ?8am?16pm, head bedside angle (30°±1°) ? (45°±1°) ? (20°±1°)
Group E:0am ?8am?16pm, head bedside angle (45°±1°) ? (20°±1°) ? (30°±1°)
Group F:0am ?8am?16pm, head bedside angle (45°±1°) ? (30°±1°) ? (20°±1°)
Sponsors
Fujian Medical University Union Hospital
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Age >= 18 years old; 2. Mechanical ventilation time >= 2 weeks; 3. Use Fuerkai CH10 spiral nasointestinal tube; 4. The nasointestinal tube has been confirmed to be placed behind the pylorus; 5. Nasogastric tube use time >= 2 weeks; 6. Start enteral nutrition therapy within 48 hours of admission to the ICU; 7. Patients or family members have informed consent and agree to participate in this study.
Exclusion criteria
Exclusion criteria: 1. Unable to change body position due to illness: spine or spinal cord injury, lumbar puncture, closed chest drainage, hemodynamic instability, intracranial hypertension; 2. Perform esophageal and gastrointestinal surgery; 3. Gastrointestinal tumors; 4. Gastrointestinal obstruction or bleeding; 5. Suspension of feeding for >= 1 hour; 6. Patients diagnosed with gastroesophageal reflux; 7. Combined with abdominal compartment syndrome; 8. Pregnancy; 9. Gastrointestinal decompression; 10. Those who adopt the prone position.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| gastric residual;pepsin;feeding intolerance (vomiting, diarrhea);abodominal cavity pressure;output and input;daily feeding achieving goal rate;nasogastric feeding amount;serum prealbumin;hemoglobin; | — |
Countries
China
Contacts
Public ContactQin Wang
Fujian Medical University Union Hospital
Outcome results
None listed