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Rate of Postpyloric Migration of Spiral Nasojejunal Tubes in Brain Injured Patients

NCT ID: NCT00562146

Last Updated: 2008-10-28

Study Results

Results pending

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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Recruitment Status

COMPLETED

Total Enrollment

120 participants

Study Classification

OBSERVATIONAL

Study Start Date

2007-12-31

Study Completion Date

2008-09-30

Brief Summary

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The success rate of unguided nasojejunal feeding tube insertion will be determined in acute brain injured patients. Factors influencing tube self-progression will be evaluated.

Detailed Description

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Nutrition support is important in brain injured patients. Several studies have shown that small bowel feeding compared with gastric feeding may be associated with a reduction in pneumonia in critically ill patients. The Canadian Clinical Practice Guidelines recommended that small bowel feedings should be considered for patients at high risk for intolerance to enteral nutrition.

There are several methods to place postpyloric tube, but there is a high success rate with endoscopic or radiological assistance. However, they are time consuming procedures, which is of limited availability at bedside and requires trained staff.

Nasojejunal tube with spiral end (Flocare Bengmark NJ tube) has been used for bedside placement for 10 years. But only limited data are available for success rate, especially in brain injured patients. The aim of this study is to access the success rate and influencing factors of spiral end nasojejunal tube in such a population.

Conditions

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Acute Brain Injury

Keywords

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nutrition enteral access

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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1

Successful progression of spiral tube to duodenum within 3 days

placement of spiral nasojejunal tube

Intervention Type PROCEDURE

spiral nasojejunal tube will be placed after enrollment of the patients

2

Failure of progression to duodenum within 3 days

placement of spiral nasojejunal tube

Intervention Type PROCEDURE

spiral nasojejunal tube will be placed after enrollment of the patients

Interventions

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placement of spiral nasojejunal tube

spiral nasojejunal tube will be placed after enrollment of the patients

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Acute brain injured patients admitted to Neuro-ICU

Exclusion Criteria

* Patients' stay in ICU shorter than 3 days
* Patients with contraindication to naso-feeding tube placement
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Capital Medical University

OTHER

Sponsor Role lead

Responsible Party

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ICU, Beijing Tiantan Hospital, Capital Medical University

Principal Investigators

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Jian-Xin Zhou, MD

Role: STUDY_CHAIR

ICU, Beijing Tiantan Hospital, Capital Medical University

Locations

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ICU, Beijing Tiantan Hospital, Capital Medical University

Beijing, Beijing Municipality, China

Site Status

Countries

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China

Other Identifiers

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BJTTH-ICU-07-011

Identifier Type: -

Identifier Source: secondary_id

BJTTH-ICU-07-011

Identifier Type: -

Identifier Source: org_study_id