Mechanical ventilation.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All ICU patients undergoing mechanical ventilation with CMV and SIMV modes Age: 18-65 years old With hemodynamic stability of gastric catheter with hemodynamic stability and absence of pancreatitis, gastrectomy, pregnancy No use of gastrointestinal enhancer drugs Under mechanical ventilation 48 hours after the start of feeding with their stomach catheter No ileus, no diabetes and gastroparesis No pancreatitis, gastrocnemius, pregnancy, obstruction and gastrointestinal malignancies No use of gastrointestinal enhancer drugs
Exclusion criteria
Exclusion criteria: Patient being extubatedOral nutrition Increase PEEP to over 7 cm of water and PS to over 12 cm of water Gastric residual volume greater than 250 cc Dissatisfaction with the legal guardian or patient's physician IleusDiabetes and gastroparesis, pancreatitis, gastrocnemius, pregnancy, obstruction and gastrointestinal malignancies Use of gastrointestinal enhancement drugs, such as: plasil, cesapride, erythromycin
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Gastric residual volume. Timepoint: Laundry will be done every three hours before each gavage, except for the 3am gavage. Method of measurement: Using a standard 60 ml syringe, the volume of remaining gastric juice will be measured in milliliters before each gavage.;Aspiration. Timepoint: First day, third, fifth day. Method of measurement: Aspiration will be diagnosed using a positive glucose oxidase strip and a pH strip. The exudates were tested for glucose and glucose oxidase band at day 1, day 3 and day 5 and pulmonary aspiration was confirmed if positive reaction was present in both testes. | — |
Countries
Iran (Islamic Republic of)
Contacts
Zanjan University of Medical Sciences