Enteral Nutrition Intolerance in Critically Ill Patients
Conditions
Brief summary
Enteral nutrition intolerance, manifested in delayed gastric emptying and high gastric residual, is a common problem in critically ill patients in intensive care, with adverse consequences on patients' outcomes. A decrease in the levels of the ghrelin hormone in these patients may contribute to this problem. The gastric residual test (GRV) is used to assess enteral absorption and gastric motility, but the traditional methods can lead to inaccuracy and waste of resources. In recent years, the use of ultrasound (PoCUS) to assess GRV has developed, but its effect on the rate of reaching the caloric goal has not yet been evaluated.
Interventions
DIAGNOSTIC_TESTUltrasound assessment
Ultrasound assessment of gastric residual volume
Sponsors
Meir Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 99 Years
Healthy volunteers
No
Inclusion criteria
Adult intensive care patients who recieve enteral nutrition via nasogastric tube -
Exclusion criteria
1. Pregnant patient 2. History of bariatric or other gastric surgery 3. Post-operative patients with sub-costal incision 4. Diaphragmatic hernia 5. Patients who recieve parenteral nutrition 6. Technically difficult US exam \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Reaching the daily caloric goal | 3 days | To compare the daily caloric goal via gastric residual volume assessment with ultrasound vs. gastric aspiration |
Countries
Israel
Outcome results
None listed