Critically Ill Patients
Conditions
Brief summary
This prospective observational study aims to assess whether ultrasound assessment of gastric content may be useful for the monitoring of the gastric residual content in critically ill patients
Interventions
DIAGNOSTIC_TESTUltrasound examination of the antrum
Ultrasound assessment of gastric content will be performed : prior to suction of gastric content through a gastric tube (method to assess the residual gastric content volume), after this suctioning of gastric content, then after reinjection of the content suctioned into the stomach (max 250 ml) and 1h30 later
Sponsors
Hôpital Edouard Herriot
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Critically ill patients under mechanical ventilation and enteral feeding through a gastric tube since \>48 h
Exclusion criteria
* Digestive hemorrhage Contra-indication to prokinetic drugs Enteral feeding through jejunostomy or gastrostomy Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| change in antral cross sectional area measured by ultrasonography after suctioning gastric volume | prior to and immediately after suctioning of gastric content volume through a gastric tube | Ultrasound measurement of antral area and qualitative assessment |
| Change in antral area after administration of prokinetic drug | Ultrasound assessment of gastric content after reinjection of suctioned gastric content and 1h30 later (1 h after the end of the infusion of prokinetic drug) | If aspirated gastric content volume was \> 250 ml, only 250 ml will be reinjected into the stomach and a prokientic drug will be administered (current protocol in our units). Antral area will be measured prior to and 90 min after the start of the infusion |
Countries
France
Outcome results
None listed