Enteral Feeding, Gastric Emptying
Conditions
Brief summary
It is recommended to respect the perioral zone by fixing the feeding tube only on the newborn's cheek, in order to promote oral acquisition and avoid repeated dislodgment of probes (HAS). This rule is easily applicable for nasogastric tubes. The difficulty is found for orogastric tubes. The mustache is usually used to fix it, but this interferes with the perioral zone and must be changed more often than necessary. To achieve a more sustainable orogastric tube's fixation to the cheek, a German team directed by W. Krämer developed and tested an orogastric tube's fixing technique that was subsequently approved and used. Using this German method, a randomized, monocentric superiority study, including 30 newborns and premature babies requiring an orogastric tube, will compared german probe's fixation method to the mustache. The aim of the study is to ensure a more effective orogastric tube's fixation to reduce the number of fixation changes, probe placements and negative oral stimulations in newborns.
Interventions
Methods of fixation of the orogastric tube will be randomized
Sponsors
Study design
Eligibility
Inclusion criteria
* Newborns admitted to neonatal intensive care unit * Express consent of the holders of parental authority * Orogastric tube indication (enteral feeding, digestive aspiration)
Exclusion criteria
* Newborns over 2 months of age corrected * Indication of nasogastric tube * Port of gastrostomy * Pathology resulting in hypersalivation or hyper sweating * Swallowing disorder * Genetic disease * Severe neurological impairment * Cleft lip and / or palate * Other malformation in the oral sphere or perioral area * Sedation with morphine analgesics * Anticonvulsant treatment * Palliative care
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Average duration of holding the fixation | 7 days |
Secondary
| Measure | Time frame |
|---|---|
| Number of tube's dislodgements | 7 days |
Countries
France