Critical Illness
Conditions
Brief summary
This study will use point of care (POC) gastric ultrasound to confirm that nasojejunal tube (NJ) feeds result in minimal to no gastric content and therefore are low risk for aspiration and should be allowed at the very least to decrease the time that enteral feeds need to be held prior to a procedure or if they need to be held at all. This would allow critically ill children to receive the nutrition that they need to heal for longer periods of time. Using ultrasound would also potentially eliminate the need for exposure to x-rays to confirm tube placement. Most ICUs have a POC ultrasound machine so this would be any easy tool to access to improve patient care.
Interventions
DIAGNOSTIC_TESTUltrasound
Point of care ultrasound to measure gastric contents.
Sponsors
Joseph D. Tobias
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
No minimum to 18 Years
Healthy volunteers
No
Inclusion criteria
* all PICU patients intubated \< 7 days that are receiving NJ or NG feeds
Exclusion criteria
* patients that cannot be moved * patients with significant GI conditions affecting motility * patients intubated for more than seven days
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Average Gastric Volume | Baseline - 5 days | Median volume (mL/kg) of gastric contents measured by ultrasound. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Risk of Aspiration | Baseline - 5 days | The potential risk of aspirating stomach contents if patient underwent intubation. |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORJoseph D Tobias, MD
Nationwide Children's Hospital
Baseline characteristics
| Characteristic | — |
|---|---|
| Age, Categorical <=18 years | 45 Participants |
| Age, Categorical >=65 years | 0 Participants |
| Age, Categorical Between 18 and 65 years | 0 Participants |
| Age, Continuous | 12 months |
| Height | 76.1 centimeters |
| PRISM Low risk | 8 Participants |
| PRISM Moderate risk | 5 Participants |
| PRISM Unknown | 3 Participants |
| Race and Ethnicity Not Collected | 0 Participants |
| Region of Enrollment United States | 16 participants |
| Sex: Female, Male Female | 7 Participants |
| Sex: Female, Male Male | 22 Participants |
| Weight | 7.9 kilograms |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 16 | 0 / 29 |
| other Total, other adverse events | 0 / 16 | 0 / 29 |
| serious Total, serious adverse events | 0 / 16 | 0 / 29 |
Outcome results
None listed