Intubated ICU Patients
Conditions
Brief summary
Randomized controlled trial assessing the safety and benefits of shortening preoperative fasts on intubated ICU patients undergoing tracheotomy.
Detailed description
Patients undergoing bedside tracheotomy in an ICU are enrolled and randomized into two groups. Arm A receive a standard fast of at least 6 hours. Arm B receive a shortened fast of only 45 minutes, just before the surgery begins. Patients will be monitored for aspiration, pneumonia and our ability to delivery better nutrition as a result of the intervention.
Interventions
fast of 45 minutes prior to surgery as opposed to standard 6 hour fast
Sponsors
Study design
Eligibility
Inclusion criteria
* intubated ICU patient undergoing tracheotomy, receiving enteral nutrition, adult, proxy available for consent
Exclusion criteria
* pregnant, \<18yo, cannot tolerate enteral feeding
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Calories delivered | 72 hours | Calories delivered before and after surgery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Aspiration | 5 days | intraoperative or postoperative aspiration |
Countries
United States