Delayed gastric emptying, refractory to 24h of metoclopramide treatment in mechanically ventilated patients. MedDRA version: 14.1 Level: LLT Classification code 10012199 Term: Delayed gastric emptying System Organ Class: 100000004856
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Mechanically ventilated. 2. Poor gastric emptying defined as 1 or more gastric residual volumes >=250mL in 24h after 3 x 10mg doses of IV metoclopramide in the last 24h. 3. Enteral feeding possible and likely to be required >72h. Are the trial subjects under 18? no Number of subjects for this age range: 0 F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 50 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 50
Exclusion criteria
Exclusion criteria: 1. Moribund or limited active treatment. 2. Enteral nutrition contraindicated (eg. ileus) or limited to less than full requirements (eg. short bowel syndrome). 3. Contraindication to placement of a naso- or oro-intestinal tube (eg. no safe GI access).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: When a person's stomach is not emptying feed properly into the small intestine, which treatment increases the volume of feed delivered and retained (ie. not discarded or vomited): 1. Feeding into the stomach and using drugs to help the stomach empty feed into the small intestine or 2. Feeding directly into the small intestine.;Secondary Objective: To evaluate whether to conduct a larger trial, comparing intestinal feeding versus stomach feeding plus prokinetic drugs to determine whether: 1. Treatments are safe and feasible. 2. Protocols work and recruitment rates are sufficient.;Primary end point(s): Percentage of goal feed rate.;Timepoint(s) of evaluation of this end point: days 1-2. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): % success of intestinal tube placement;Timepoint(s) of evaluation of this end point: Duration of nasointestinal feeding; normally day 1-5. | — |
Countries
United Kingdom
Contacts
Stephen