GASTRIC-PICU: Study on the usefulness of measuring gastric residual volume in children in intensive care
Résumé de l'étude
In our research project, we want to find out whether routine measurements of gastric contents in children are necessary or not. Children in intensive care and on mechanical ventilation often struggle to take in even half of the required calories (through food). An adequate caloric intake for a sick child is important so that he/she has enough energy for breathing and recovery. Currently, the gastric residual volume is regularly measured in every child. As soon as this gastric residual shows an abnormal amount or color, the staff may, after consultation, reduce or stop feeding. This could be a reason why these children do not receive sufficient calories.
(BASEC)
Intervention étudiée
When participating in the study, the child will be randomly assigned to one of two groups:
• No measurement of gastric residual volume (GRV) (intervention group)
• Standard measurement of GRV (comparison group)
The rest of the child's treatment will not be influenced by the study. Care continues according to the therapeutic guidelines of the treating medical and nursing team.
(BASEC)
Maladie en cours d'investigation
We want to know if measuring gastric residual volume affects ventilation and if caloric intake can be increased.
(BASEC)
Children and adolescents who can be included in this study must meet the following criteria: o Patient in intensive care o Already mechanically ventilated or expected intubation o Age 0-16 years o Intention to start or already started feeding via gastric tube or PEG. (BASEC)
Critères d'exclusion
Children and adolescents cannot participate in this study if the following applies to them: • Already a patient in intensive care for more than 24 hours • Postpyloric feeding tubes or jejunostomy • Palliative patients • Children/adolescents with long-term invasive mechanical ventilation • Current or recently occurred intestinal disease or surgery (e.g., necrotizing enterocolitis (NEC), active gastrointestinal bleeding, or intestinal surgery) • Participated in the GASTRIC-PICU study in the last six months. (BASEC)
Lieu de l’étude
Zurich
(BASEC)
Sponsor
Universitäts-Kinderspital Zürich
(BASEC)
Contact pour plus d'informations sur l'étude
Personne de contact en Suisse
Luregn Schlapbach
+41 44 249 6211
research.ipsneo@clutterkispi.uzh.chUniversitäts-Kinderspital Zürich, Intensivmedizin und Neonatologie
(BASEC)
Informations scientifiques
non disponible
Nom du comité d'éthique approbateur (pour les études multicentriques, uniquement le comité principal)
Commission cantonale de Zurich
(BASEC)
Date d'approbation du comité d'éthique
10.12.2024
(BASEC)
Identifiant de l'essai ICTRP
non disponible
Titre officiel (approuvé par le comité d'éthique)
The GASTRIC-PICU Study: A randomised controlled trial of no routine gastric residual monitoring to guide enteral feeding in paediatric intensive care units (BASEC)
Titre académique
non disponible
Titre public
non disponible
Maladie en cours d'investigation
non disponible
Intervention étudiée
non disponible
Type d'essai
non disponible
Plan de l'étude
non disponible
Critères d'inclusion/exclusion
non disponible
non disponible
Critères d'évaluation principaux et secondaires
non disponible
non disponible
Date d'enregistrement
non disponible
Inclusion du premier participant
non disponible
Sponsors secondaires
non disponible
Contacts supplémentaires
non disponible
ID secondaires
non disponible
Résultats-Données individuelles des participants
non disponible
Informations complémentaires sur l'essai
non disponible
Résultats de l'essai
Résumé des résultats
non disponible
Lien vers les résultats dans le registre primaire
non disponible