Nutrition in intensive care in adults review of the literature and development of evidence based feeding protocols.
Sarah Ikram, Erfan Hussain, Ali Bin Sarwar Zubairi
https://pubmed.ncbi.nlm.nih.gov/27654738Actively Recruiting
Phase Not Applicable
Age: 18Years +
All Genders
ID06631001
The Effect of Abdominal Massage on Gastrointestinal Functions in Mechanically Ventilated Patients Receiving Enteral Nutrition in Intensive Care
Led by Mersin University · Updated on 2025-02-19
70
Participants Needed
1
Research Sites
9 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are evaluating how abdominal massage affects gastrointestinal functions in patients who are mechanically ventilated and receiving enteral nutrition in intensive care units. This study aims to assess abdominal massage's impact on bowel movement frequency, gastric residual volume, and abdominal distension. The trial is designed as a prospective, single-blind randomized controlled trial to provide scientific evidence for abdominal massage use in this patient group. Participants are randomly assigned to either an intervention group receiving abdominal massage or a control group receiving standard care without massage. Abdominal massage is performed twice daily for 15 minutes over three days using specific techniques like effleurage, petrissage, and vibration. The massage is given at the bedside in a semi-Fowler position before enteral feeding, with routine nursing care provided to all patients. Throughout the study, researchers monitor bowel movements, gastric residual volume, abdominal distension, and stool consistency using specialized forms and scales twice daily. Data collection includes clinical assessments such as Glasgow Coma Scale and APACHE II scoring. The study lasts three days for each patient, with detailed recording of gastrointestinal function parameters to evaluate the effects of abdominal massage compared to standard care.
CONDITIONS
Brief Title
"The Effect of Abdominal Massage on Gastrointestinal Functions in Mechanically Ventilated Patients Receiving Enteral Nutrition in Intensive Care"
Who Can Participate
Age: 18Years +
All Genders
Eligibility Criteria
You may qualify if you...
- Patients over 18 years of age
- Patients who have been intubated and are on enteral feeding for at least 5 days
- Patients without wounds on the extremities or abdominal area
- Patients without a history of surgical intervention or radiotherapy in the abdominal area
- Patients without current gastrointestinal symptoms such as constipation, diarrhea, vomiting, abdominal distension, or increased gastric residual volume
- Patients without intestinal obstruction
- Patients who have given consent through a first-degree relative
- Patients with no contraindications for abdominal massage
- Glasgow Coma Scale (GCS) greater than 3
- Acute Physiology and Chronic Health Evaluation (APACHE II) score greater than 16
You will not qualify if you...
- Patients receiving intermittent enteral nutrition
- Patients not on mechanical ventilation
- Patients with contraindications for abdominal massage
- Patients fed via Percutaneous Endoscopic Gastrostomy
- Patients who were intubated later
- Patients hospitalized due to postoperative reasons
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Treatment
Duration - 3 days
Participants will receive abdominal massage twice a day for 15 minutes over 3 days to evaluate its effects on gastrointestinal functions including defecation frequency, gastric residual volume, and abdominal distension. The control group will receive routine nursing care without abdominal massage during this period.
Twice daily assessments over 3 days (6 sessions total)
Trial Site Locations
Total: 1 location
1
Mersin Toros State Hospital
Mersin, Turkey (Türkiye), 33010
Actively Recruiting
Loading map...
Research Team
Y
Yusuf Yüce
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
Similar Trials
Frequently Asked Questions
Have more questions? Get in touch with our team for quick support
Not the Right Trial for You?
Explore thousands of other clinical trials that might be a better match.
Sign up to get personalized trial recommendations delivered to your inbox.
Already have an account? Log in here
Published Research Related To This Trial
Critical illness, gastrointestinal complications, and medication therapy during enteral feeding in critically ill adult patients.
Imad F Btaiche, Lingtak-Neander Chan, Melissa Pleva...
https://pubmed.ncbi.nlm.nih.gov/20130156Enteral Nutrition for Adults in the Hospital Setting.
Michelle Kozeniecki, Rebecca Fritzshall
https://pubmed.ncbi.nlm.nih.gov/26203073Enteral tube feeding in adults.
R Scott, T E Bowling
https://pubmed.ncbi.nlm.nih.gov/25874832The effect of abdominal massage on gastric residual volume: a randomized controlled trial.
Nurcan Uysal, İsmet Eşer, Hale Akpinar
https://pubmed.ncbi.nlm.nih.gov/22472671Effectiveness of registered dietitian-led management of early nutritional support in the emergency intensive care unit: a retrospective observational study.
Mamoru Hayashi, Yuki Nishikido, Hiroyuki Banno...
https://pubmed.ncbi.nlm.nih.gov/38970089Impact of enteral feeding protocols on enteral nutrition delivery: results of a multicenter observational study.
Daren K Heyland, Naomi E Cahill, Rupinder Dhaliwal...
https://pubmed.ncbi.nlm.nih.gov/21097768Gastroenteric tube feeding: techniques, problems and solutions.
Irina Blumenstein, Yogesh M Shastri, Jürgen Stein
https://pubmed.ncbi.nlm.nih.gov/25024606Enteral tolerance in critically ill patients.
Hiroomi Tatsumi
https://pubmed.ncbi.nlm.nih.gov/31086671Strategies to manage gastrointestinal symptoms complicating enteral feeding.
Jacqueline S Barrett, Susan J Shepherd, Peter R Gibson
https://pubmed.ncbi.nlm.nih.gov/19028933