Impact of the Choice of Gastric Tube Placement Sites on the Incidence of Ventilator Associated Pneumonia
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: nasogastric tube and orogastric tube, orogastric tube and nasogastric tube.
- Who it may be relevant to
- Registry conditions: Intubated Patient Requiring a Gastric Tube. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- France
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Impact of the Choice of Gastric Tube Placement Sites on the Incidence of Ventilator Associated Pneumonia and Other Complications in the Intensive Care Unit
Overview
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.
Interventions
- Other nasogastric tube and orogastric tube
nasogastric tube in period 1 and orogastric tube in period 2 - Other orogastric tube and nasogastric tube
orogastric tube in period 1 and nasogastric tube in period 2
Primary outcome measures
- Compare impact of insertion site of gastric tube on the incidence of ventilator associated pneumoniae [Time frame: Day 28]
Eligibility criteria
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
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Crossover
- Masking
- Open label
- Primary purpose
- Other
Study locations
France · 1 center
- Centre Hospitalier Du Mans — Le Mans
Publications
- Saletes J, Guitton C, Valleroy J, Guillarme S, Haubertin C, Paris G, Muller L, Rousseau C, Gamon P, L'Hotellier S, Forel JM, Roussel C, Garin A, Morand C, Maury E, Mangeard N, Menard L, Arnaud PY, Lejeune A, Rouanet E, Callahan JC. Effect of nasogastric versus orogastric tube placement on ventilator-associated pneumonia incidence in critically ill patients: a study protocol for a cluster randomise PMID 40921641
Identifiers
NCT: NCT05915663 · CHM-2022/S03/05