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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| NJ tube fed | Critically ill children receiving nutrition via a nasojejunal feeding tube. |
| |
| NG tube fed | Critically ill children receiving nutrition via a nasogastric feeding tube. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ultrasound | Diagnostic Test | Point of care ultrasound to measure gastric contents. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Gastric contents | Amount of gastric contents measured by ultrasound. | Baseline (Day 1) |
| Measure | Description | Time Frame |
|---|---|---|
| Gastric contents | Amount of gastric contents measured by ultrasound. | Day 2 (if still intubated & being tube fed) |
| Gastric contents | Amount of gastric contents measured by ultrasound. |
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Inclusion Criteria:
Exclusion Criteria:
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Critically ill children at Nationwide Children's Hospital
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| Name | Affiliation | Role |
|---|---|---|
| Joseph D Tobias, MD | Nationwide Children's Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nationwide Children's Hospital | Columbus | Ohio | 43205 | United States |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Jun 22, 2026 |
| ID | Term |
|---|---|
| D016638 | Critical Illness |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D014463 | Ultrasonography |
| ID | Term |
|---|---|
| D003952 | Diagnostic Imaging |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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| Day 3 (if still intubated & being tube fed) |
| Gastric contents | Amount of gastric contents measured by ultrasound. | Day 4 (if still intubated & being tube fed) |
| Gastric contents | Amount of gastric contents measured by ultrasound. | Day 5 (if still intubated & being tube fed) |