Critical Illness
Conditions
Keywords
Enteral Feeds, Supplemental Feeds, Transpyloric Tube, Nasogastric Tube
Brief summary
The purpose of this study is to determine the benefit of feeding critically-ill patients beyond the stomach (post-pyloric). Furthermore, because of the advent of two new post-pyloric feeding tubes (Tiger 2 and Syncro BlueTube) designed to improve post-pyloric placement, the investigators will be evaluating the benefits of those two tubes as well.
Interventions
To determine the benefits of utilizing one type of transpyloric tube over another.
Sponsors
Study design
Eligibility
Inclusion criteria
* patients admitted to the ICU who are deemed by the attending critical care physician to warrant tube feeds and expected to receive tube feeds for more than three days
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| To determine whether transpyloric feeds are superior to transgastric feeds with regard to ability to give calories and meet nutritional goals. | one year | To determine the time to goal calories. To determine the number and qualitative aspect of tracheal aspirations. To determine the time to initiate tube feeds once the decision has been made to place a tube, the number of x-rays required for placement, the time required for placement, the number of times tube needs to be replaced. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| To determine the benefits of utilizing one type of transpyloric tube over another. One placed in the transpyloric position magnetically; the other propelled by peristalsis itself. | one year | Benefits include shorter time to appropriate placement and quicker time to goal tube feed rate. |
Countries
United States