Gastro-esophageal Reflux
Conditions
Brief summary
This study is designated to test the safety and initial efficacy of the LunGuard's PFT device for reduction of GER. Enterally-Fed, Sedated and Mechanically Ventilated Critically Ill Patients in the ICU will have the PFT positioned in them and used for feeding of a Nutritional Formula.Samples will be taken by suction on predetermined intervals and analysed for Pepsin A concentration. The PFT will be removed upon completion of the study's scheduled routine. Patients in the control group will have a standard polyurethane nasogastric device inserted according to standard procedure, which is considered the gold standard.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Informed consent. * Patients who are expected for at least 12 hours to be: * Mechanically ventilated and sedated. * Requiring a nasogastric tube. * Included are: * Patients who have undergone tracheostomy. * Patients who require use of pro-kinetic drugs and proton pump inhibitors. * All levels of Gastric Residual Volume (GRV)
Exclusion criteria
* • Patients with a contraindication for insertion of a nasogastric tube. * Patients with a known esophageal obstruction, preventing passage of the device. * Esophageal disease including: achalasia, hiatal hernia or any other anatomical anomaly and/or esophageal pathology, esophagitis, Zenkers diverticulum, para-esophageal hernia, esophageal varices. (not excluded are minor GERD patients) * Acute and severe coagulation disorders * (INR\> 2 or platelets below 30,000) * Diabetic patients with documented gastrointestinal neuropathy * Pregnancy or lactation * Allergy to Silicon * Patients who are currently enrolled in another clinical investigation in which the intervention might compromise the safety of the patient's participation in this study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Reduction of gastro-esophageal reflux (GER) by 30% | 12-24 hours |
| Continuous esophageal pressure monitoring | 12-24 hours |
| Successful introduction, positioning and removal of the device | 12-24 h |
| Successful enteral feeding | 12-24 hours |
Secondary
| Measure | Time frame |
|---|---|
| Reduction of ventilator associated pneumonia (VAP) | 12-24 hours |
| Reduction of micro-aspirations | 12-24 hours |