The objective of the BOCUSE study is to demonstrate a relationship between an early ultrasound measurement of the gastric antral area and the subsequent occurrence of poor gastric tolerance.
Age ≥ 18 years
Predicted mechanical ventilation ≥ 48 hours
Initiation of enteral nutrition via nasogastric or orogastric tube for ≥ 48 hours
Free and informed consent obtained from the patient's relative or legal representative, or inclusion in an emergency situation
History of major gastric surgery (bypass, total gastrectomy, biliopancreatic diversion)
Enteral nutrition via nasogastric or orogastric tube > 96 hours
Initiation of enteral nutrition before intubation
Feeding via gastrostomy, jejunostomy, or jejunal tube
Single group
Gastric ultrasound with measurement of the antral area
Other interventionGastric ultrasound with measurement of the antral area
Enteral nutrition intolerance
Presence of regurgitation and/or vomiting and/or interruption or reduction of enteral nutrition flow rates
Occurrence of VAP
Occurrence of Ventilator Associated Pneumonia
Mortality
Mortality at ICU discharge, at day 28, and at 3 months
Duration of mechanical ventilation
Number of days on mechanical ventilation
Number of ventilator-free days
Number of ventilator-free days at day 28 and 3 months
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