Evaluation of Jejunal Placement of Enteral Feeding Tubes
NCT ID: NCT00500851
Last Updated: 2010-11-30
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
66 participants
INTERVENTIONAL
2007-05-31
2009-02-28
Brief Summary
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Detailed Description
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In order to avoid at least some of these complications the ACCP consensus statement recommends small bowel feeding if gastric residual volumes of 150ml or higher occur. The Canadian clinical practice guidelines recommend acceptance of gastric residual volumes up to 250 ml, use of prokinetic agents and jejunal feeding for patients, who are at high risk for intolerance of EN (on inotropes, sedatives, paralytic agents). When gastric enteral nutrition is insufficient despite acceptance of high gastric residual volumes and use of prokinetic agents, small bowel feeding is the best method to nevertheless feed the patient enterally because it is associated with a significant decrease of reflux, a reduced risk of aspiration and an adequate caloric intake.
For small bowel feeding the placement of a jejunal feeding tube is necessary. There are several possibilities to place the tube in the small bowel. An excellent method still is endoscopy, which has a success rate up to 98% and moreover allows an evaluation of the upper GI-tract concerning pathologies. However, it is a rather time consuming procedure, which is of limited availability and requires trained staff. As more simple alternatives unguided tubes and their placement in the small bowel were tested and showed success rates up to 75% only. One of these alternatives is a jejunal feeding tube, which is placed using an electromagnetic sensing technique to visualize the placement process on a bedside monitor (CORTRAK™). The aim of this study is the evaluation of the success rate of jejunal tube placement comparing the endoscopic versus the electromagnetic method in a comparative ICU patient population.
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
NONE
Study Groups
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1
In case of meeting clinical criteria for jejunal feeding, tubes are placed using CORTRAK (electromagnetic imaging).
Electromagnetic imaging for jejunal tube placement (CORTRAK)
Jejunal feeding tubes are placed using electromagnetic imaging (CORTRAK)
2
Endoscopic placement of jejunal feeding tubes fulfilling clinical indication for jejunal feeding.
Endoscopy
Endoscopic placement of jejunal feeding tubes
Interventions
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Electromagnetic imaging for jejunal tube placement (CORTRAK)
Jejunal feeding tubes are placed using electromagnetic imaging (CORTRAK)
Endoscopy
Endoscopic placement of jejunal feeding tubes
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Clinical indication of jejunal feeding
Exclusion Criteria
18 Years
ALL
No
Sponsors
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Medical University of Vienna
OTHER
Responsible Party
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Medical University of Vienna
Principal Investigators
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Ulrike Holzinger, MD
Role: PRINCIPAL_INVESTIGATOR
Medical University Vienna
Locations
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Medical University Vienna, Department of Medicine III, ICU
Vienna, , Austria
Countries
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References
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Holzinger U, Brunner R, Miehsler W, Herkner H, Kitzberger R, Fuhrmann V, Metnitz PG, Kamolz LP, Madl C. Jejunal tube placement in critically ill patients: A prospective, randomized trial comparing the endoscopic technique with the electromagnetically visualized method. Crit Care Med. 2011 Jan;39(1):73-7. doi: 10.1097/CCM.0b013e3181fb7b5f.
Other Identifiers
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138/2007
Identifier Type: -
Identifier Source: org_study_id