Status:

TERMINATED

Enteral Naloxone Versus a Traditional Bowel Regimen for the Prevention of Opioid Induced Constipation in Trauma Patients

Lead Sponsor:

CAMC Health System

Conditions:

Constipation

Analgesia

Eligibility:

All Genders

18-65 years

Phase:

PHASE4

Brief Summary

The purpose of this study is to determine if enteral naloxone is more effective than a traditional bowel regimen in the prevention and treatment of constipation and impaired gastric motility in critic...

Detailed Description

Impaired gastric motility and constipation are common issues among patients in the intensive care setting. Contributing factors include trauma, multiple surgical procedures, lack of ambulation, and th...

Eligibility Criteria

Inclusion

  • Males and non-pregnant females \> 18 years of age and \< 65 years of age
  • MSICU admission to the trauma service at the General Hospital
  • Scheduled for continuous infusion/administration of opiate analgesics for at least 24 hours
  • Access for enteral administration of medications and tube feeds
  • Initiation of tube feeds

Exclusion

  • NPO
  • Pregnancy
  • \< 18 years of age or \> 65 years of age
  • Pancreatitis
  • Ileus
  • Large bowel obstruction present on plain X-ray or CT scan
  • Recent intestinal anastomosis (within 2 weeks)
  • Section of large bowel removed (within 2 weeks)
  • Contraindications to metaclopramide (Reglan) such as parkinson's disease, tardive dyskinesia, etc.
  • Traumatic brain injury with a glasgow coma score of at least 8
  • Use of pharmacologic paralytics or neuromuscular blockade (NMB)
  • Non-english speaking patients

Key Trial Info

Start Date :

August 1 2007

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

October 1 2012

Estimated Enrollment :

3 Patients enrolled

Trial Details

Trial ID

NCT00799201

Start Date

August 1 2007

End Date

October 1 2012

Last Update

July 29 2015

Active Locations (1)

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1

Charleston Area Medical Center, General Hospital

Charleston, West Virginia, United States, 25301