Metoclopramide As Intermittent and Continuous Infusions in Critically Ill Patients: A Pilot Randomized Clinical Trial Publisher Pubmed



Malekolkottab M¹ ; Khalili H¹ ; Mohammadi M² ; Ramezani M² ; Nourian A¹ Show Affiliations
Source: Journal of Comparative Effectiveness Research Published:2017

Abstract

Aim: Metoclopramide is commonly used as a prokinetic agent in critically ill patients with enteral feeding intolerance. In this study, noninferiority of metoclopramide as intermittent versus continuous infusion was examined in critically ill patients with enteral feeding intolerance. Methods: Forty critically ill adults patients were assigned to receive metoclopramide as either intermittent (10 mg every 6 h) or continuous (2 mg/h) infusion. Frequency of feeding intolerance and adverse effects of metoclopramide were assessed during 7 days of study. Results: Number of patients with feeding intolerance during different times of the course was not different between the groups. Although not statistically significant, diarrhea and cardiac rhythm were more common in continuous than intermittent infusion group. Conclusion: Continuous and intermittent infusions of metoclopramide showed equivalent effectiveness in critically ill patients. © 2017 Future Medicine Ltd.