intensive care nutrition
Conditions
Interventions
Observers :NA
Sponsors
The First Affiliated Hospital of Sun Yat-sen University
Eligibility
Sex/Gender
All
Age
18 Years to 90 Years
Inclusion criteria
Inclusion criteria: Patients must meet the criteria of ( ? + ? + ? and/or ? ) at the same time: ? Patients who are admitted to the ICU and are =18 years of age, regardless of gender; ? Expected enteral nutrition support time =48h; ? Gastric tube feeding intolerance which cannot be resolved by prokinetic medication; ? Patients at high risk of aspiration or already experienced from reflux/aspiration in the current hospitalization. Patients at increased risk for aspiration may be identified as Patients inability to protect the airway, mechanical ventilation, age >70 years, reduced level of consciousness, poor oral care, inadequate nurse: patient ratio, supine positioning, neurologic deficits, gastroesophageal reflux, transport out of the ICU, and use of bolus intermittent EN
Exclusion criteria
Exclusion criteria: Patients who meet any of the following criteria will not be enrolled in the study, including: ? Patients with contraindications for enteral nutrition, such as uncontrolled shock, uncontrolled hypoxia and acidosis, uncontrolled upper gastrointestinal bleeding, intestinal hypoxia, and intestinal obstruction; ?Patients with contraindications for NJ tube placement, such as nasal cavity obstruction, pharyngeal tumors, severe varicose veins, stenosis or obstruction of the esophagus, corrosive gastritis, pyloric obstruction, severe respiratory distress or cardiac failure, and acute coronary syndromes; ? Patients PLT <20×109/L who are at high risk of bleeding; ? patients with transperitoneal gastrostomy or gastrojejunostomy; ? patients with a history of metoclopramide allergy; ? pregnancy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Learning curve; | — |
Secondary
| Measure | Time frame |
|---|---|
| Number of cases per operator;The effect of blind tube placement experience on the learning curve;Exact location of the tube tip;Duration and success rate of the 2nd tube placement;Possible risk factors for tube placement failure;Complication of tube placement ; | — |
Countries
China
Contacts
Public ContactLuo Yifeng
The First Affiliated Hospital of Sun Yat-sen University
Outcome results
None listed