Impact of the Choice of Gastric Tube Placement Sites on the Incidence of Ventilator Associated Pneumonia

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

2400 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-10-01

Study Completion Date

2027-03-01

Brief Summary

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In intensive care, many gastric tubes are inserted on a regular basis. There are different practices in terms of the location of the gastric tube. In some cases, the tube is inserted through the nose and in others, it is inserted through the mouth.

In the literature and in practice, these gastric tubes create discomfort and complications that have an impact not only on the patient, but also on the treatments and the length of the patient's stay in hospital.

Nosocomial Ventilator Associated Pneumonia is the most serious common complication for patients intubated with a gastric tube. It is possible that placement site may have an impact on the risk of developing Ventilator Associated Pneumonia, particularly by increasing the risk of bacterial pullulation opposite the sinuses when the tube is placed via the nasal route.

Investigator hypothesises that placing the gastric tube orally will reduce the rate of ventilator-associated pneumonia compared with the nasal route in mechanically ventilated intensive care patients.

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Detailed Description

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Conditions

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Intubated Patient Requiring a Gastric Tube

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Randomised cluster and cross-over study

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Nasogastric

nasogastric tube in period 1 and orogastric tube in period 2

Group Type EXPERIMENTAL

nasogastric tube and orogastric tube

Intervention Type OTHER

nasogastric tube in period 1 and orogastric tube in period 2

Orogastric

orogastric tube in period 1 and nasogastric tube in period 2

Group Type EXPERIMENTAL

orogastric tube and nasogastric tube

Intervention Type OTHER

orogastric tube in period 1 and nasogastric tube in period 2

Interventions

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nasogastric tube and orogastric tube

nasogastric tube in period 1 and orogastric tube in period 2

Intervention Type OTHER

orogastric tube and nasogastric tube

orogastric tube in period 1 and nasogastric tube in period 2

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* patient in intensive care, intubated, ventilated
* Adult
* Requiring a gastric tube
* With an expected duration of mechanical ventilation of more than 48 hours
* Affiliated to social security
* Patient or relative consent or, failing that, emergency inclusion of the patient

Exclusion Criteria

* Pregnant, breast-feeding or parturient women
* Patients under legal protection: curatorship and guardianship
* Contraindication to placing a gastric tube through the nose or mouth
* Patients who already have a gastric tube when they enter the service
* Patient intubated for more than 24 hours
* Patient intubated via the nasotracheal route

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No