K25 K26
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. intensive care patient (fasted for at least 8 hours) 2. 18 years or older 3. (planned) constant enteral feeding (group A) or (planned) constant parenteral feeding (group B) 4. planned, oral stress ulcer prophylaxis with the proton pump inhibitor esomeprazole (according to SOPs)
Exclusion criteria
Exclusion criteria: 1. Acute gastrointestinal bleeding with additional spontaneous drop in mean arterial blood pressure of at least 20 mmHg or start of vasopressor therapy or 20% increase of vasopressors given or decrease of hemoglobin serum concentration of at least 3 g/dl without other causes or administration of 2 or more erythrocyte concentrates. 2. Patients suffering Gastroenteritis or Ileus-symptomatology at the time of study enrolment. 3. Pregnant or breast feeding women 4. Significant gastric emptying retardation with reflux via a persisting stomach tube of more than 750 ml/24h at the time of study enrolment.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Stomach pH of intensive care patients during enteral feeding in comparison to stomach pH of intensive care patients during parenteral feeding. | — |
Secondary
| Measure | Time frame |
|---|---|
| Stomach pH of intensive care patients during enteral feeding who took gastric acid inhibiting drugs at least 3 days before study inclusion in comparison to stomach pH of intensive care patients during enteral feeding who did not take gastric acid inhibiting drugs at least 3 days before study inclusion. Stomach pH of intensive care patients during parenteral feeding who took gastric acid inhibiting drugs at least 3 days before study inclusion in comparison to stomach pH of intensive care patients during parenteral feeding who did not take gastric acid inhibiting drugs at least 3 days before study inclusion. | — |
Countries
Germany
Contacts
Universitätsklinik für Anästhesiologie, operative Intensivmedizin, Rettungsmedizin, Schmerztherapie, Campus OWL, Klinikum Herford AöR