Enteral feeding Nutritional, Metabolic, Endocrine
Conditions
Interventions
This study is evaluating an enteral nutritional support algorithm.
Critically ill patients are randomly allocated to one of two groups:
1. Those fed though the enteral nutritional support algorithm
and norepinephrine infusion rate <12.5 mcg/min
2. Then the gastrointestinal function is assessed and categorized as follows:
2.1. Normal function
2.2. Acute gastrointestinal injury grade 1-3
2.3. Con
Sponsors
Zhejiang Provincial People's Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Critically ill patients expected to stay in ICU for more than 3 days
Exclusion criteria
Exclusion criteria: 1. Previous EN within 7 days of current episode of ICU admission 2. Burn patients 3. Pregnancy and breast feeding 4. Patients with PEJ, PEG
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 28-day mortality | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Incidence of ventilator associated pneumonia 2. Length of stay in ICU and hospital 3. Duration of mechanical ventilation 4. Biomarkers of nutritional status, including albumin, pre-albumin, chemistry profile, CD3, CD8, IgA, IgG, HLA-DR. They are measured via blood samples taken on a daily basis after enrollment into the study 5. Total amount of nutrition and the proportions of enteral and parenteral nutrition, measured by summing up calories intakes for the whole study period. Calories include enteral nutrition (commercial formula with fixed calorie per unit volume), and parenteral nutrition | — |
Countries
China
Outcome results
None listed