Efficacy of Nasojejunal Enteral Feeding in Critically Ill Patients.
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.
Intensive Care Patients Requiring Enteral Feeding.
Procedure: Nasojejunal feeding
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
|Official Title:||Efficacy of Nasojejunal Enteral Feeding in Critically Ill Patients.|
- Efficacy of feeding [ Time Frame: participants will be followed until death, discharge from ICU, commencement of oral or parental nutrition or 28 days post ICU admission ]
- 1. To determine the incidence of complications with enteral feeding via nasogastric and nasojejunal routes. [ Time Frame: 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. [ Time Frame: participants will be followed until death, discharge from ICU commencement of oral or parental nutrition,or 28 days post ICU admission. ]
|Study Start Date:||May 2003|
|Study Completion Date:||July 2005|
No Intervention: Standard Care
Patients will receive enteral nutrition via a nasogastric tube as per standard feeding regime
Active Comparator: Nasojejunal Arm
Patient will receive feeding via a nasojejunal feeding tube
|Procedure: Nasojejunal feeding|
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.
Please refer to this study by its ClinicalTrials.gov identifier: NCT00256048
|Intensive Care Unit, Royal Melbourne Hospital, Grattan Street|
|Parkville, Victoria, Australia, 3050|
|Principal Investigator:||Megan Robertson||Intensive Care Unit, Royal Melbourne Hospital|