Actively Recruiting
Reaching a Caloric Goal Using a Gastric Sonar Versus Aspiration of Gastric Contents in Critically Ill Patients Receiving Nasogastric Enteral Nutrition - Randomized Controlled Trial
Led by Meir Medical Center · Updated on 2025-05-13
50
Participants Needed
1
Research Sites
52 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Enteral nutrition intolerance, shown by delayed stomach emptying and high gastric residual volumes, is common in critically ill patients in intensive care and can negatively affect outcomes. Lower levels of the hormone ghrelin might contribute to this problem. Traditionally, gastric residual volume (GRV) is measured to assess digestion and stomach movement, but these methods can be inaccurate and waste resources. Recently, ultrasound (PoCUS) has been developed to measure GRV, though its impact on achieving daily calorie goals has not been studied. This trial compares two ways of measuring gastric residual volume in critically ill patients receiving nutrition through a nasogastric tube: ultrasound assessment versus aspiration of gastric contents. Participants are randomly assigned to either an ultrasound group or an aspiration group. The study evaluates how these methods affect reaching the daily caloric intake target over three days. Participants will be monitored to see if they reach their daily calorie goals during the study period. Researchers will assess gastric residual volume using the assigned method and track nutritional intake. Safety and effectiveness of each measurement method will be observed, with the study lasting until the caloric goal assessment after three days. The trial enrolls adults aged 18 to 99 years who are in intensive care and receiving nasogastric enteral nutrition.
CONDITIONS
Brief Title
Reaching a Caloric Goal Using a Gastric Sonar Versus Aspiration of Gastric Contents in Critically Ill Patients Receiving Nasogastric Enteral Nutrition
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Adult intensive care patients who receive enteral nutrition via nasogastric tube
You will not qualify if you...
- Pregnant patient
- History of bariatric or other gastric surgery
- Post-operative patients with sub-costal incision
- Diaphragmatic hernia
- Patients who receive parenteral nutrition
- Technically difficult ultrasound exam
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - 3 days
Participants undergo assessment of gastric residual volume by either ultrasound or aspiration of gastric contents to guide nutrition management.
Daily assessments for 3 days
Trial Site Locations
Total: 1 location
1
Meir Medical Center
Kfar Saba, Israel
Actively Recruiting
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
DIAGNOSTIC
Number of Arms
2
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