Enteral nutrition intolerance due to gastrointestinal dysfunction in critically ill patients (increased gastric residual volume, feeding complications).
Conditions
Interventions
Control group: Gastric aspiration monitoring group:Traditional gastric aspiration method for gastric residual volume monitoring
Intervention group: Bedside ultrasound monitoring group:Bedside ultrasound monitoring of gastric residual volume
Sponsors
Ninghai First Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: 1.Age >= 18 years; 2.Body mass index 18-35 kg/m^2; 3.Indication for enteral nutrition;
Exclusion criteria
Exclusion criteria: 1.Pregnancy; 2.Gastrointestinal diseases (post-gastrointestinal surgery, intestinal obstruction, active gastrointestinal bleeding, high-output enterocutaneous fistula, diarrhea, abdominal compartment syndrome, etc.); 3.Uncontrolled shock (norepinephrine > 5 µg·kg?¹·min?¹); 4.Inability to visualize gastric antrum by ultrasound; 5.Incomplete data or refusal to sign informed consent;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Target energy achievement rate;Feeding intolerance and complication rate;Time to achieve 70% target energy; | — |
Secondary
| Measure | Time frame |
|---|---|
| Immune markers (immunoglobulins, inflammatory markers, etc.);Nutritional markers (albumin, prealbumin, etc.);ICU length of stay;Disease severity scores (APACHE-II, SOFA); | — |
Countries
China
Contacts
Public ContactWang Caimu
Ninghai First Hospital
Outcome results
None listed