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Rate of Postpyloric Migration of Spiral Nasojejunal Tubes in Brain Injured Patients
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Purpose
| Condition | Intervention |
|---|---|
| Acute Brain Injury | Procedure: placement of spiral nasojejunal tube |
| Study Type: | Observational |
| Study Design: | Observational Model: Case Control Time Perspective: Prospective |
| Official Title: | Rate of Postpyloric Migration of Spiral Nasojejunal Tubes in Brain Injured Patients |
| Enrollment: | 120 |
| Study Start Date: | December 2007 |
| Study Completion Date: | September 2008 |
| Primary Completion Date: | September 2008 (Final data collection date for primary outcome measure) |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
1
Successful progression of spiral tube to duodenum within 3 days
|
Procedure: placement of spiral nasojejunal tube
spiral nasojejunal tube will be placed after enrollment of the patients
|
|
2
Failure of progression to duodenum within 3 days
|
Procedure: placement of spiral nasojejunal tube
spiral nasojejunal tube will be placed after enrollment of the patients
|
Detailed Description:
Nutrition support is important in brain injured patients. Several studies have shown that small bowel feeding compared with gastric feeding may be associated with a reduction in pneumonia in critically ill patients. The Canadian Clinical Practice Guidelines recommended that small bowel feedings should be considered for patients at high risk for intolerance to enteral nutrition.
There are several methods to place postpyloric tube, but there is a high success rate with endoscopic or radiological assistance. However, they are time consuming procedures, which is of limited availability at bedside and requires trained staff.
Nasojejunal tube with spiral end (Flocare Bengmark NJ tube) has been used for bedside placement for 10 years. But only limited data are available for success rate, especially in brain injured patients. The aim of this study is to access the success rate and influencing factors of spiral end nasojejunal tube in such a population.
Eligibility| Ages Eligible for Study: | 18 Years and older (Adult, Senior) |
| Sexes Eligible for Study: | All |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Probability Sample |
Inclusion Criteria:
- Acute brain injured patients admitted to Neuro-ICU
Exclusion Criteria:
- Patients' stay in ICU shorter than 3 days
- Patients with contraindication to naso-feeding tube placement
Contacts and LocationsPlease refer to this study by its ClinicalTrials.gov identifier: NCT00562146
| China, Beijing | |
| ICU, Beijing Tiantan Hospital, Capital Medical University | |
| Beijing, Beijing, China, 100050 | |
| Study Chair: | Jian-Xin Zhou, MD | ICU, Beijing Tiantan Hospital, Capital Medical University |
More Information
| Responsible Party: | Jian-Xin Zhou, ICU, Beijing Tiantan Hospital, Capital Medical University |
| ClinicalTrials.gov Identifier: | NCT00562146 History of Changes |
| Other Study ID Numbers: |
BJTTH-ICU-07-011 |
| Study First Received: | November 20, 2007 |
| Last Updated: | October 27, 2008 |
Keywords provided by Capital Medical University:
|
nutrition enteral access |
Additional relevant MeSH terms:
|
Brain Injuries Brain Diseases Central Nervous System Diseases Nervous System Diseases |
Craniocerebral Trauma Trauma, Nervous System Wounds and Injuries |
ClinicalTrials.gov processed this record on September 21, 2017