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IRCT20190128042528N1 IRCT 2020-01-18 Tehran University of Medical Sciences Effect of Enteral Feeding on Paraclinical Outcome Comparision of The Effect of Enteral Feeding ThroughThe Bolus & Continuous Methods on Paraclinical Outcome & Incidence of Diarrhea in Patient With Mechanical Ventilation 2018-10-06 anticipated 34 Complete https://irct.ir/trial/37161 interventional Randomization: Not randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Blinding description: Study participants are randomly assigned to study groups. 3 Paraclinical changes in continuous feeding and bolus feeding. Intervention 1: Intervention group:Patients in this group received continuous enteral feeding with standard commercial solution of enterameal of karen group. After adding 11.3 g of powder to 50 cc of water, each cc contains one kcal of energy. In this method, the patient started feeding at 25cc / h in a semi-seated position. And every three hours the volume of gastric residue was measured, and if the volume of gastric residue was less than 50% of the volume of the patient's previous three hours, the patient's gavage was continued and the patient's gavage volume was increased in calories, if any. When the volume of the stomach was more than 50% of the volume of gavage in the last three hours, the patient's gavage was cut for three hours. On the first day of the patient's gavage, 50% of the patient's nutritional intake was met, and within 48 hours we reached the final nutritional goal of 25kcal / kg / day, and continued with the same target volume until the end of the study . Intervention 2: Control group: Patients in this group received enteral feeding through routine (bolus) and with standard commercial enterameal solution. After adding 11.3 g of powder to 50 cc of water, each cc contains one kcal of energy. In this method, the patient started feeding at a rate of 75cc / 3h in a semi-sitting position And every three hours the volume of gastric residue was measured, and if the volume of gastric residue was less than 50% of the volume of the patient's previous three hours, the patient's gavage was continued and the patient's gavage volume was increased in calories, if any. When the volume of the stomach was more than 50% of the volume of gavage in the last three hours, the patient's gavage was cut for three hours. On the first day of the patient's gavage, 50% of the patient's nutritional intake was met, and within 48 hours we reached the final nutritional goal of 25kcal / kg / day, and continued with the same target volume until the end of the study . Yes - There is a plan to make this available What will be shared: Only original data is shared When: 1 year after publishing the results To whom: Researchers working in academic and scientific institutions Conditions: Comparison with data from similar studies Where to obtain: jseyedi30@yahoo.com How to obtain: -- Comments:
public Javad Seyyedi
No. 1, Langhroodi Al., Imam Khomeini Ave.,
Tehran Iran (Islamic Republic of) 1319847858 +98 21 6638 7619 jseyedi30@yahoo.com Tehran University of Medical Sciences scientific Javad Seyyedi
No. 1, Langhroodi Al., Imam Khomeini Ave.,
Tehran Iran (Islamic Republic of) 1319847858 +98 21 6638 7619 jseyedi30@yahoo.com Tehran University of Medical Sciences Iran (Islamic Republic of) Patient with mechanical ventilation throught the endotracheal tube Feeding of Patient with NG tube Patient attendant satisfaction 18-85 years old 18 years 85 years Both Patient with digestive Disease( diarrhea, ileus, obstruction, ostomy) Patient with renal failure Treatment - Other Treatment - Other Intervention group:Patients in this group received continuous enteral feeding with standard commercial solution of enterameal of karen group. After adding 11.3 g of powder to 50 cc of water, each cc contains one kcal of energy. In this method, the patient started feeding at 25cc / h in a semi-seated position. And every three hours the volume of gastric residue was measured, and if the volume of gastric residue was less than 50% of the volume of the patient's previous three hours, the patient's gavage was continued and the patient's gavage volume was increased in calories, if any. When the volume of the stomach was more than 50% of the volume of gavage in the last three hours, the patient's gavage was cut for three hours. On the first day of the patient's gavage, 50% of the patient's nutritional intake was met, and within 48 hours we reached the final nutritional goal of 25kcal / kg / day, and continued with the same target volume until the end of the study ... Control group: Patients in this group received enteral feeding through routine (bolus) and with standard commercial enterameal solution. After adding 11.3 g of powder to 50 cc of water, each cc contains one kcal of energy. In this method, the patient started feeding at a rate of 75cc / 3h in a semi-sitting position And every three hours the volume of gastric residue was measured, and if the volume of gastric residue was less than 50% of the volume of the patient's previous three hours, the patient's gavage was continued and the patient's gavage volume was increased in calories, if any. When the volume of the stomach was more than 50% of the volume of gavage in the last three hours, the patient's gavage was cut for three hours. On the first day of the patient's gavage, 50% of the patient's nutritional intake was met, and within 48 hours we reached the final nutritional goal of 25kcal / kg / day, and continued with the same target volume until the end of the study ... Serum albumin level. Timepoint: Before the intervention and 7 days after the intervention. Method of measurement: Analysis by Bromocresol Green Pars Test Laboratory Kit. Serum level of pre-albumin. Timepoint: Before the intervention and 2 days after the intervention. Method of measurement: Analysis by Nephlometry Laboratory Kit Brand Binding site. Serum phosphate level. Timepoint: Before the intervention and 7 days after the intervention. Method of measurement: Photometric analysis uv test. Serum lactate level. Timepoint: Before the intervention and 7 days after the intervention. Method of measurement: Enzymatic / colorimetric analysis kit by Fars Bayer Lab. Frequency of defecation. Timepoint: During 7 days of intervention. Method of measurement: View and record in data log sheet. Patient's blood sugar. Timepoint: Every six hours. Method of measurement: clever check Glucometer. Tehran University of Medical Sciences Approved 2018-09-02 Ethics committee of Tehran university of medical scinces No.1,Langroudi Ave.,Imam Khomeyni Blvd Tehran Tehran Iran (Islamic Republic of)