Bedside Observation by Clinical Ultrasound for Stomach Expansion

Centre Hospitalier Saint Joseph Saint Luc de Lyon150 enrolled

Overview

The objective of the BOCUSE study is to demonstrate a relationship between an early ultrasound measurement of the gastric antral area and the subsequent occurrence of poor gastric tolerance.

Study Type

INTERVENTIONAL

Allocation

Purpose

PREVENTION

Masking

NONE

Enrollment

150

Conditions

Enteral Feeding Intolerance

Interventions

Gastric ultrasound with measurement of the antral areaOTHER

Gastric ultrasound with measurement of the antral area

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Age ≥ 18 years * Predicted mechanical ventilation ≥ 48 hours * Initiation of enteral nutrition via nasogastric or orogastric tube for ≥ 48 hours * Free and informed consent obtained from the patient's relative or legal representative, or inclusion in an emergency situation Exclusion Criteria: * History of major gastric surgery (bypass, total gastrectomy, biliopancreatic diversion) * Enteral nutrition via nasogastric or orogastric tube \> 96 hours * Initiation of enteral nutrition before intubation * Feeding via gastrostomy, jejunostomy, or jejunal tube * Pregnancy * Prognosis considered terminal * No ultrasound window available * Legally protected adults (under curatorship, guardianship, or judicial protection) * No social security coverage * Patient under State Medical Aid (AME)

Locations (1)

Hôpital Saint Joseph Saint Luc

Lyon, France

RECRUITING

Outcomes

Primary Outcomes

Enteral nutrition intolerance

Presence of regurgitation and/or vomiting and/or interruption or reduction of enteral nutrition flow rates

Time frame: Within 7 days following the gastric ultrasound

Secondary Outcomes

Occurrence of VAP

Occurrence of Ventilator Associated Pneumonia

Time frame: From H0 until ICU discharge, up to 3 months

Mortality

Mortality at ICU discharge, at day 28, and at 3 months

Time frame: At ICU discharge, at 28 days, and at 3 months

Duration of mechanical ventilation

Number of days on mechanical ventilation

Time frame: From H0 until ICU discharge, up to 3 months

Number of ventilator-free days

Number of ventilator-free days at day 28 and 3 months

Time frame: Day 28, 3 months

Length of stay in the ICU

Length of ICU stay (in days)

Time frame: From ICU admission until ICU discharge, up to 3 months

Data from ClinicalTrials.gov

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