ICU feeding study challenges fasting rules before tracheostomy
NCT ID NCT07508293
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study observed 91 ICU patients on breathing machines who needed a tracheostomy (a tube in the windpipe). One group continued receiving liquid food through a feeding tube until just before the procedure, while the other group fasted for 6-8 hours as usual. Researchers tracked whether continuing feeding increased the risk of aspiration pneumonia (lung infection from food or liquid entering the airway) within 72 hours after the procedure. The goal was to see if skipping the fasting period is safe and helps maintain nutrition in critically ill patients.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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91 people
The number who actually took part.
- Started
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Dec 2022
- Finished
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Jan 2024
- Lead sponsor
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A government agency
The lead sponsor is a government body.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
The study population consists of adult (≥18 years) mechanically ventilated patients admitted to the intensive care units of Bursa Yüksek İhtisas Training and Research Hospital who were scheduled for elective bedside percutaneous tracheostomy. Patients were managed according to routine ICU enteral nutrition practices and included those receiving either continuous enteral feeding until tracheostomy preparation or conventional pre-procedural fasting.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Age ≥18 years 2. Mechanically ventilated patients in the intensive care unit 3. Receiving enteral nutrition 4. Scheduled for elective percutaneous tracheostomy 5. No radiologically confirmed active pneumonia at baseline 6. No diagnosis of acute respiratory distress syndrome (ARDS) 7. No ventilator-associated pneumonia at the time of tracheostomy * Exclusion Criteria: 1-) Early death after ICU admission 2-) Inability to receive enteral nutrition (e.g., ileostomy, colostomy, severe gastrointestinal pathology) 3-) Clinically significant gastric intolerance (persistent vomiting, abdominal distension, feeding intolerance) 4-) Hemodynamic instability requiring inotropic support 5-) Refusal of participation by patient or legal representative 6-) Pre-procedural enteral nutrition interruption between 1-6 hours 7-) Missing or incomplete clinical data
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Mimarsinan Mah. Emniyet Cad. 16310 Yıldırım/Bursa
Bursa, Bursa, 16310, Turkey (Türkiye)
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- The hidden breath: how a mismatch between patient and machine may shape ARDS recovery
- Can a bedside ultrasound predict which septic shock patients will stop breathing on their own?
- Could less food help critically ill patients recover faster?
- New breathing test may predict readiness for tracheostomy removal