Clinical Trials Logo

Clinical Trial Summary

There is currently limited guidance on when to hold nutritional supplementation through for patients, who are receiving tube feeding, undergoing surgical procedures. This study aims to investigate which time would be the best to stop nutrition, if at all, before undergoing a surgical procedure.


Clinical Trial Description

The risk for malnutrition-associated complications is high for patients in the trauma- surgical-, and neurological intensive care units. Patients with persistent neurologic impairment often require nutritional supplementation through a variety of naso-enteral or surgical feeding tubes such as percutaneous endoscopic gastrostomy (PEG) tubes. In patients with a protected airway, enteral nutrition has been reported to continue during invasive surgical procedures. Nonetheless, University Hospital's current SOC for holding enteral nutrition prior to undergoing surgical procedures under anesthesia is 8 hours. However, the current American Society of Anesthesiologists (ASA) guidelines do not make provision for inpatients receiving supplemental enteral nutrition. Enteral nutrition contains protein, fat, and carbohydrates, mimicking what patients would consume with a solid food meal. Balancing the need of optimized nutrition in critically ill patients with an unprotected airway against the risk of aspiration during surgical procedures brings a need for clear guidance on when to hold enteral nutrition prior to undergoing a tracheostomy procedure. ;


Study Design


Related Conditions & MeSH terms


NCT number NCT06431048
Study type Interventional
Source University of Missouri-Columbia
Contact Antoinette Burger, PhD
Phone 5738843740
Email aburger@health.missouri.edu
Status Not yet recruiting
Phase N/A
Start date June 2024
Completion date September 2025

See also
  Status Clinical Trial Phase
Completed NCT02116608 - Treatment of Tracheostomy Granulomas Phase 4
Not yet recruiting NCT06375369 - Digital Health Pathway for Children With Medical Complexity Requiring Tracheostomy N/A
Completed NCT01976819 - Clinical Assessment of New Speaking Valve With Heat and Moisture Exchanger (HME) for Tracheotomized Patients N/A
Terminated NCT00323986 - Azithromycin Treatment of Patients With Chronic Obstructive Pulmonary Disease (COPD) and Tracheostomy Phase 2
Not yet recruiting NCT06236542 - Tracheostomy Robotics and Cutting-edge Health Education for Airway Safety N/A
Completed NCT03955874 - Mechanical Ventilation Discontinuation Practices
Completed NCT04668742 - Efficacy and Safety of the DYNAtraq Device to Prevent Complications in Tracheostomy in Mechanically Ventilated Patients N/A
Recruiting NCT05047432 - Concordance of Methods to Select Tracheostomy Tube Size for Adults in Intensive Care
Recruiting NCT06120790 - Investigation of a 3 oz Water Protocol on Patients With Tracheostomies
Withdrawn NCT05658029 - An Investigator-initiated Study to Evaluate Safety and Efficacy of ARINA-1 in People With a Tracheostomy Phase 1
Active, not recruiting NCT05041894 - Effect of Body Tilting on Diaphragm Excursion and Thickness in the Stroke Patients With Tracheotomy by Ultrasonography
Active, not recruiting NCT02990871 - Efficacy of an Early Rehabilitation on Decannulation Time of Patients With Severe Acquired Brain Injury N/A
Enrolling by invitation NCT06283953 - Boosting Resources for Tracheostomy Care at Home N/A
Not yet recruiting NCT04872881 - Comparison of Effectiveness of Different Airway Management Methods During Percutaneous Tracheostomy Phase 4
Completed NCT02512744 - Reducing Decannulation Time: Limitation of Decannulation Capping Trials (REDECAP) N/A
Recruiting NCT04642703 - Mortality in Patients With Severe COVID-19 Pneumonia Who Underwent Tracheostomy
Completed NCT04447638 - Percutaneous Tracheostomy With COVID-19
Completed NCT05434442 - Caregivers Tracheal Aspiration Training N/A
Recruiting NCT02469909 - Comparison Between Immediate and Gradual Decannulation N/A
Completed NCT03512054 - Pilot Study Evaluating the Success (= Safe Decannulation) of a Standardized Tracheotomy Weaning Procedure in Brain-injury's Patients N/A