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The purpose of this study is to determine if naso-jejunal feeding (feeding beyond the stomach) improves the efficacy of enteral feeding (feeding into the gut) in critically ill patients.
The study hypothesis is that in patients who fail to establish enteral feeding via the nasogastric route, introduction of nasojejunal feeding will lead to more effective enteral feeding than the current regime involving staged introduction of promotility agents.
The study examines the area of enteral feeding in critically ill patients. Current standard enteral feeding practice is via a nasogastric with the addition of promotility agents for patients who fail to absorb their enteral nutrition.
This study compares the efficacy of nasojejunal feeding feeding with nasogastric enteral feeding with the addition of promotility agents.
The duration of feeding will be determined by the patients nutritional requirements and their general condition. However the data will be collected for duration of enteral feeding, 28 days or ICU discharge whichever occurs first.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard Care | No Intervention | Patients will receive enteral nutrition via a nasogastric tube as per standard feeding regime | |
| Nasojejunal Arm | Active Comparator | Patient will receive feeding via a nasojejunal feeding tube |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nasojejunal feeding | Procedure |
|
| Measure | Description | Time Frame |
|---|---|---|
| Efficacy of feeding | participants will be followed until death, discharge from ICU, commencement of oral or parental nutrition or 28 days post ICU admission |
| Measure | Description | Time Frame |
|---|---|---|
| 1. To determine the incidence of complications with enteral feeding via nasogastric and nasojejunal routes. | participants will be followed until death, discharge from ICU, commencement of parental or oral nutrition or 28 days post ICU admission. | |
| 2. To assess the efficacy of current strategies for optimising enteral feeding efficacy. |
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Inclusion Criteria:
Adult patients (18years or over) admitted to the ICU with an expected stay of more than 48 hours.
Patients commenced on enteral feeding via a nasogastric tube who fail to tolerate gastric feeding due to excessive gastric aspirate volumes.
Patients who consent or if the patient is incompetent, the next of kin, who consent, to inclusion in the study.
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Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Megan Robertson | Intensive Care Unit, Royal Melbourne Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Intensive Care Unit, Royal Melbourne Hospital, Grattan Street | Parkville | Victoria | 3050 | Australia |
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| ID | Term |
|---|---|
| D016638 | Critical Illness |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| participants will be followed until death, discharge from ICU commencement of oral or parental nutrition,or 28 days post ICU admission. |