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Báo cáo y học: "A randomised controlled comparison of early post-pyloric versus early gastric feeding to meet nutritional targets in ventilated intensive care patients"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: A randomised controlled comparison of early post-pyloric versus early gastric feeding to meet nutritional targets in ventilated intensive care patients. | Available online http ccforum.eom content 13 6 R187 Research A randomised controlled comparison of early post-pyloric versus early gastric feeding to meet nutritional targets in ventilated intensive care patients Hayden White1 Kellie Sosnowski1 Khoa Tran1 Annelli Reeves2 and Mark Jones3 Department of Critical Care Logan Hospital University of Queensland Armstrong Road Meadowbrook Brisbane 4131 Australia department of Nutrition Services Logan Hospital Armstrong Road Meadowbrook Brisbane 4131 Australia 3School of Population Health University of Queensland 15 Butterfield Street Herston 4006 Australia Corresponding author Hayden White hayden_white@health.qld.gov.au Received 3 Aug 2009 Revisions requested 1 Oct 2009 Revisions received 10 Oct 2009 Accepted 25 Nov 2009 Published 25 Nov 2009 Critical Care 2009 13 R187 doi 10.1186 cc8181 This article is online at http ccforum.com content 13 6 R1 87 2009 White et al. licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Open Access Abstract Introduction To compare outcomes from early post-pyloric to gastric feeding in ventilated critically ill patients in a medical intensive care unit ICU . Methods Prospective randomized study. Ventilated patients were randomly assigned to receive enteral feed via a nasogastric or a post-pyloric tube. Post-pyloric tubes were inserted by the bedside nurse and placement was confirmed radiographically. Results A total of 104 patients were enrolled 54 in the gastric group and 50 in the post-pyloric group. Bedside post-pyloric tube insertion was successful in 80 of patients. Patients who failed post-pyloric insertion were fed via the nasogastric route but were analysed on an intent-to treat basis. A per protocol analysis was also performed. Baseline .