patients with high risk of aspiration
Conditions
Interventions
Gastric antral echo intensity group:Catheterization based on antral echo intensity, ED50>63
Experience group:Catheterization based on current clinical guidelines
Sponsors
Department of Critical Care Medicine of West China Hospital, Sichuan University
Eligibility
Sex/Gender
All
Age
18 Years to 90 Years
Inclusion criteria
Inclusion criteria: 1. Age >18 years; 2. "High risk" of aspiration (meeting one of the following criteria): Age > 70 years old; Decreased level of consciousness; Swallowing dysfunction; Poor oral care; History: central nervous system disease, gastroesophageal reflux disease; Prone position; Artificial airway or mechanical ventilation 3. Expected ICU stay >24 hours
Exclusion criteria
Exclusion criteria: patients with shock who had active gastrointestinal bleeding, intestinal obstruction, intestinal ischemia or short bowel syndrome; patients had gastrointestinal surgery; patients had severe acute pancreatitis; patients were allergic to any component of the EN formula; refused to participate in the study; pregnant.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The occurrence of aspiration and associated pneumonia; | — |
Secondary
| Measure | Time frame |
|---|---|
| Time to reach nutritional targets;Feeding conditions;ICU - Length of Stay;Length of Stay;Days of mechanical ventilation;Second stay in the ICU;Hospitalization outcome; | — |
Countries
China
Contacts
Public ContactQin Wu
Department of Critical Care Medicine of West China Hospital, Sichuan University
Outcome results
None listed