Gastric Content Ultrasound Monitoring Prior to Extubation in Critically Ill Children

Launched by HOSPICES CIVILS DE LYON · Dec 20, 2021

Keywords

ClinConnect Summary

This clinical trial is studying how to safely determine when critically ill children can be taken off a breathing tube, also known as extubation. The researchers want to figure out if using ultrasound to check the contents of a child's stomach can help avoid risks like vomiting and aspiration (when food or liquid goes into the lungs) during this process. Current guidelines suggest keeping the stomach empty before extubation, but critically ill children may not follow the same patterns as those who have had planned surgeries, which could lead to unnecessary waiting times or increased risks.

The trial is looking for children aged 0 to 17 who are currently in a pediatric intensive care unit, are intubated, and are receiving a significant portion of their nutrition through a feeding tube. If you participate, your child may undergo a simple ultrasound to check their stomach contents before the breathing tube is removed. This study aims to improve safety during the extubation process by better understanding how quickly children in critical care clear their stomachs.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 0 to 17 year old children admitted to pediatric intensive care unit
• • intubated (oral or nasal tracheal tube)
• • gastric enteral feeding affording at least 25% of the nutritional target (estimated with Schofield equations)
• • No opposition from one of the 2 parents (or legal representatives)
• Exclusion Criteria:
• • anatomical anomaly of the stomach location (e.g. post surgery)
• • Difficult access to perform gastric ultra-sounding (drains, plasters, dressings etc.)
• • mobilization to right lateral decubitus at risk