To investigate the feasibility of nurse-performed gastric ultrasound after major gastro-intestinal surgery.
ID
Source
Brief title
Condition
- Gastrointestinal signs and symptoms
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
The primary outcome is feasibility of gastric ultrasound. Feasibility is
defined as the acceptability, usability, demand, practicality, and integration
of gastric ultrasound. Acceptability will be measured by the Theoretical
Framework of Acceptability-based (TFA) questionnaire and nurses* confidence and
by the patients* perspective towards undergoing gastric ultrasound during
recovery after surgery. The Dutch-System Usability Scale will be used to assess
usability. Demand will be measured by indications for gastric ultrasound and
the change for successful image acquisition. Practicality of gastric ultrasound
will be measured by the length in minutes. The integration of gastric
ultrasound will be explored in a focus group with nurses.
Nurses will perform gastric ultrasound routinely during their shifts at
standardized time points: in the morning at 11-12AM, or in the evening at 7-8PM
and following clinical signs of the patients regarding hampered
gastrointestinal recovery. Gastric ultrasound can be performed from the day
after surgery until the day of discharge.
Secondary outcome
Secondary outcome is the association of gastric residual content assessed with
gastric ultrasound with the extent of recovery of gastro-intestinal functions.
Background summary
Gastric ultrasound is a quick and non-invasive tool to evaluate gastric
content. Emptying of gastric content can be affected after abdominal surgery
leading to the inability of tolerating oral foods. Gastric content can be
assessed by gastric ultrasound and nurses were recently trained to do so in
healthy volunteers; however, feasibility of nurse-performed gastric ultrasound
after major abdominal surgery is not investigated yet.
Study objective
To investigate the feasibility of nurse-performed gastric ultrasound after
major gastro-intestinal surgery.
Study design
A prospective, observational feasibility study
Study burden and risks
Although no discomfort is foreseen for patients undergoing gastric ultrasound,
this is especially evaluated in this study. In this phase, patients will also
not have any benefit as data are used for research and not for clinical
implications yet. In case of abdominal wounds or significant discomfort, nurses
will terminate or exclude the patient.
*
Geert Grooteplein 10
Nijmegen 6525GE
NL
Geert Grooteplein 10
Nijmegen 6525GE
NL
Listed location countries
Age
Inclusion criteria
• Adult patients (>18 years)
• Underwent gastrointestinal surgery:
o partial liver resection,
o colorectal resection,
o HIPEC,
o Whipple procedures for pancreatic cancer or pancreatic disorders,
o other gastro- intestinal abdominal procedures such as resections of sarcomas,
correction of herniation.
• Obtained written informed consent.
• Admitted for at least 3 days.
Exclusion criteria
A potential patients who meets any of the following criteria will be excluded
from participation in this study:
• patients with open abdominal wounds or with abdominal pain hindering adequate
gastric ultrasound.
• patients with a Percutaneous Endoscopic Gastrostomy catheter
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL87097.091.24 |