Monitoring gastric content with ultrasound before extubation in critically ill children
Gastric Content Ultrasound Monitoring Prior to Extubation in Critically Ill Children
This study is testing whether using ultrasound to check the stomach contents of critically ill children before removing their breathing tubes can help reduce the risks of complications.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 45 (estimated) |
| Ages | 0 Years to 17 Years |
| Sex | All |
| Sponsor | Hospices Civils de Lyon Academic / other |
| Locations | 1 site (Bron) |
| Trial ID | NCT05181904 on ClinicalTrials.gov |
What this trial studies
This observational study aims to assess the gastric content of critically ill children prior to extubation using ultrasound technology. It addresses the lack of evidence-based fasting guidelines for this population, who often experience different gastric motility issues compared to children undergoing planned surgeries. By monitoring gastric content, the study seeks to determine if prolonged fasting is necessary, potentially reducing the risks of aspiration during extubation. The study includes children aged 0 to 17 years who are intubated and receiving enteral feeding.
Who should consider this trial
Good fit: Ideal candidates are children aged 0 to 17 years who are intubated and receiving enteral feeding in a pediatric intensive care unit.
Not a fit: Patients with anatomical anomalies of the stomach or those who cannot undergo gastric ultrasound due to access issues may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could lead to improved extubation practices and reduced aspiration risks in critically ill children.
How similar studies have performed: While there is limited evidence on this specific approach, the use of gastric ultrasound in similar contexts has shown promise, indicating potential for success.
Eligibility criteria
Show full inclusion / exclusion 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
Where this trial is running
Bron
- Paediatric intensive care Unit - Hopital Femme Mère Enfant - Hospices Civils de Lyon — Bron, France (Recruiting)
Study contacts
- Study coordinator: Frédéric VALLA
- Email: Frederic.valla@chu-lyon.fr
- Phone: 04 72 12 97 35
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.