Carilion Clinic
Randomized controlled trial to establish evidence on which to base timing of enteral feeding after bedside PEG placement in ventilated Trauma and Surgical ICU patients.
Trauma and surgical intensive care unit(TSICU) patients supported with mechanical ventilation are at high risk for complications associated with malnutrition (Ambrosino and Clini 2004; Aubier et al. 1985; Hill et al. 1998). To mitigate this risk, therapeutic enteral nutrition(EN) is delivered via nasogastric(NGT), orogastric(OGT), or nasoenteric tube(NET) as soon as possible after admission to the intensive care unit(ICU) or upon restoration of gastrointestinal(GI) continuity. Despite these interventions, TSICU patients often suffer a calorie deficit associated with enteral nutrition interrupt…
Inclusion Criteria: * Adult subjects over 18 years of age * Negative pregnancy test for women participants of child-bearing age * Mechanically ventilated surgical and trauma patients with clinical indication for PEG tube placement * Tolerating tube feeds at goal prior to procedure Exclusion Criteria: * Patients with aberant gastrointestinal anatomy * Patients with gastrointestinal motility disorders * Patients with feeding intolerance prior to PEG tube procedure * Pregnant women, children, or other vulnerable populations * Clinical contraindications for PEG tube placement * PEG performed in…
Earliest possible initiation of tube feeding after bedside PEG tube procedure.
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