Gastric ultrasonography in assessment and quantification of gastric contents in fasting diabetic and nondiabetic patients
Context: Gastric ultrasound is an emerging point-of-care diagnostic tool to examine stomach contents and determine pulmonary aspiration risk at the bedside. This is helpful in guiding airway and/or anesthetic management in the acute care setting, when nil per oral (NPO) status is doubtful or unknown...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Delma D Cunha [verfasserIn] Padubidri S Balakrishna Achar [verfasserIn] T Gurumurthy [verfasserIn] Manasa Acharya [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2022 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
In: Medical Journal of Dr. D.Y. Patil Vidyapeeth - Wolters Kluwer Medknow Publications, 2019, 15(2022), 4, Seite 561-564 |
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| Übergeordnetes Werk: |
volume:15 ; year:2022 ; number:4 ; pages:561-564 |
| Links: |
Link aufrufen |
|---|
| DOI / URN: |
10.4103/mjdrdypu.mjdrdypu_75_21 |
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| Katalog-ID: |
DOAJ024949051 |
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| 520 | |a Context: Gastric ultrasound is an emerging point-of-care diagnostic tool to examine stomach contents and determine pulmonary aspiration risk at the bedside. This is helpful in guiding airway and/or anesthetic management in the acute care setting, when nil per oral (NPO) status is doubtful or unknown or patient has conditions or comorbidities that affect gastric emptying. Aims: The objectives of the study were to evaluate and quantify the gastric contents and grade the fullness of the stomach in fasting patients. Settings and Design: This was an observational, analytical study conducted on patients who presented for elective surgeries who were fasted for 8 hours for solids and 6 hours for clear liquids. Materials and Methods: Adult patients aged between 18 and 70 years of American Society of Anesthesiology physical status 1–3 were included in the study. Gastric ultrasonography was performed and gastric volume was calculated. Data were entered in Microsoft Excel 2007 and analyzed using SPSS version 22.0. Results: Our study included a total of eighty subjects. The mean age in the diabetic group was 49.3 ± 16.4 years and in the nondiabetic group 49.4 ± 16.8 years. Despite fasting status, 75% of the subjects were found to have Grade 1 (up to 100 ml) gastric contents on ultrasonography. The data were found to be statistically significant with P < 0.05. There was no significant correlation of age and ultrasonography findings. However, body mass index of the patient was found to have a strong correlation with gastric content and its volume (P < 0.0001). Conclusion: In the current practice, NPO status, especially for emergency cases, is elicited via history which is unreliable, and in individuals at higher risk for delayed gastric emptying, this may pose a greater threat for aspiration. Using gastric ultrasonography as a screening tool prior to planning the anesthetic induction and technique can help avoid unnecessary perioperative complications. | ||
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10.4103/mjdrdypu.mjdrdypu_75_21 doi (DE-627)DOAJ024949051 (DE-599)DOAJ55c18f351fe044a5bf57ca1dfc5c36fd DE-627 ger DE-627 rakwb eng Delma D Cunha verfasserin aut Gastric ultrasonography in assessment and quantification of gastric contents in fasting diabetic and nondiabetic patients 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Context: Gastric ultrasound is an emerging point-of-care diagnostic tool to examine stomach contents and determine pulmonary aspiration risk at the bedside. This is helpful in guiding airway and/or anesthetic management in the acute care setting, when nil per oral (NPO) status is doubtful or unknown or patient has conditions or comorbidities that affect gastric emptying. Aims: The objectives of the study were to evaluate and quantify the gastric contents and grade the fullness of the stomach in fasting patients. Settings and Design: This was an observational, analytical study conducted on patients who presented for elective surgeries who were fasted for 8 hours for solids and 6 hours for clear liquids. Materials and Methods: Adult patients aged between 18 and 70 years of American Society of Anesthesiology physical status 1–3 were included in the study. Gastric ultrasonography was performed and gastric volume was calculated. Data were entered in Microsoft Excel 2007 and analyzed using SPSS version 22.0. Results: Our study included a total of eighty subjects. The mean age in the diabetic group was 49.3 ± 16.4 years and in the nondiabetic group 49.4 ± 16.8 years. Despite fasting status, 75% of the subjects were found to have Grade 1 (up to 100 ml) gastric contents on ultrasonography. The data were found to be statistically significant with P < 0.05. There was no significant correlation of age and ultrasonography findings. However, body mass index of the patient was found to have a strong correlation with gastric content and its volume (P < 0.0001). Conclusion: In the current practice, NPO status, especially for emergency cases, is elicited via history which is unreliable, and in individuals at higher risk for delayed gastric emptying, this may pose a greater threat for aspiration. Using gastric ultrasonography as a screening tool prior to planning the anesthetic induction and technique can help avoid unnecessary perioperative complications. acid aspiration syndrome aspiration pneumonia diabetes mellitus gastric acid aspiration syndrome ultrasonography Medicine R Padubidri S Balakrishna Achar verfasserin aut T Gurumurthy verfasserin aut Manasa Acharya verfasserin aut In Medical Journal of Dr. D.Y. Patil Vidyapeeth Wolters Kluwer Medknow Publications, 2019 15(2022), 4, Seite 561-564 (DE-627)1760594458 25898310 nnns volume:15 year:2022 number:4 pages:561-564 https://doi.org/10.4103/mjdrdypu.mjdrdypu_75_21 kostenfrei https://doaj.org/article/55c18f351fe044a5bf57ca1dfc5c36fd kostenfrei http://www.mjdrdypv.org/article.asp?issn=2589-8302;year=2022;volume=15;issue=4;spage=561;epage=564;aulast=D kostenfrei https://doaj.org/toc/2589-8302 Journal toc kostenfrei https://doaj.org/toc/2589-8310 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_206 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4305 GBV_ILN_4338 AR 15 2022 4 561-564 |
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10.4103/mjdrdypu.mjdrdypu_75_21 doi (DE-627)DOAJ024949051 (DE-599)DOAJ55c18f351fe044a5bf57ca1dfc5c36fd DE-627 ger DE-627 rakwb eng Delma D Cunha verfasserin aut Gastric ultrasonography in assessment and quantification of gastric contents in fasting diabetic and nondiabetic patients 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Context: Gastric ultrasound is an emerging point-of-care diagnostic tool to examine stomach contents and determine pulmonary aspiration risk at the bedside. This is helpful in guiding airway and/or anesthetic management in the acute care setting, when nil per oral (NPO) status is doubtful or unknown or patient has conditions or comorbidities that affect gastric emptying. Aims: The objectives of the study were to evaluate and quantify the gastric contents and grade the fullness of the stomach in fasting patients. Settings and Design: This was an observational, analytical study conducted on patients who presented for elective surgeries who were fasted for 8 hours for solids and 6 hours for clear liquids. Materials and Methods: Adult patients aged between 18 and 70 years of American Society of Anesthesiology physical status 1–3 were included in the study. Gastric ultrasonography was performed and gastric volume was calculated. Data were entered in Microsoft Excel 2007 and analyzed using SPSS version 22.0. Results: Our study included a total of eighty subjects. The mean age in the diabetic group was 49.3 ± 16.4 years and in the nondiabetic group 49.4 ± 16.8 years. Despite fasting status, 75% of the subjects were found to have Grade 1 (up to 100 ml) gastric contents on ultrasonography. The data were found to be statistically significant with P < 0.05. There was no significant correlation of age and ultrasonography findings. However, body mass index of the patient was found to have a strong correlation with gastric content and its volume (P < 0.0001). Conclusion: In the current practice, NPO status, especially for emergency cases, is elicited via history which is unreliable, and in individuals at higher risk for delayed gastric emptying, this may pose a greater threat for aspiration. Using gastric ultrasonography as a screening tool prior to planning the anesthetic induction and technique can help avoid unnecessary perioperative complications. acid aspiration syndrome aspiration pneumonia diabetes mellitus gastric acid aspiration syndrome ultrasonography Medicine R Padubidri S Balakrishna Achar verfasserin aut T Gurumurthy verfasserin aut Manasa Acharya verfasserin aut In Medical Journal of Dr. D.Y. Patil Vidyapeeth Wolters Kluwer Medknow Publications, 2019 15(2022), 4, Seite 561-564 (DE-627)1760594458 25898310 nnns volume:15 year:2022 number:4 pages:561-564 https://doi.org/10.4103/mjdrdypu.mjdrdypu_75_21 kostenfrei https://doaj.org/article/55c18f351fe044a5bf57ca1dfc5c36fd kostenfrei http://www.mjdrdypv.org/article.asp?issn=2589-8302;year=2022;volume=15;issue=4;spage=561;epage=564;aulast=D kostenfrei https://doaj.org/toc/2589-8302 Journal toc kostenfrei https://doaj.org/toc/2589-8310 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_206 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4305 GBV_ILN_4338 AR 15 2022 4 561-564 |
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10.4103/mjdrdypu.mjdrdypu_75_21 doi (DE-627)DOAJ024949051 (DE-599)DOAJ55c18f351fe044a5bf57ca1dfc5c36fd DE-627 ger DE-627 rakwb eng Delma D Cunha verfasserin aut Gastric ultrasonography in assessment and quantification of gastric contents in fasting diabetic and nondiabetic patients 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Context: Gastric ultrasound is an emerging point-of-care diagnostic tool to examine stomach contents and determine pulmonary aspiration risk at the bedside. This is helpful in guiding airway and/or anesthetic management in the acute care setting, when nil per oral (NPO) status is doubtful or unknown or patient has conditions or comorbidities that affect gastric emptying. Aims: The objectives of the study were to evaluate and quantify the gastric contents and grade the fullness of the stomach in fasting patients. Settings and Design: This was an observational, analytical study conducted on patients who presented for elective surgeries who were fasted for 8 hours for solids and 6 hours for clear liquids. Materials and Methods: Adult patients aged between 18 and 70 years of American Society of Anesthesiology physical status 1–3 were included in the study. Gastric ultrasonography was performed and gastric volume was calculated. Data were entered in Microsoft Excel 2007 and analyzed using SPSS version 22.0. Results: Our study included a total of eighty subjects. The mean age in the diabetic group was 49.3 ± 16.4 years and in the nondiabetic group 49.4 ± 16.8 years. Despite fasting status, 75% of the subjects were found to have Grade 1 (up to 100 ml) gastric contents on ultrasonography. The data were found to be statistically significant with P < 0.05. There was no significant correlation of age and ultrasonography findings. However, body mass index of the patient was found to have a strong correlation with gastric content and its volume (P < 0.0001). Conclusion: In the current practice, NPO status, especially for emergency cases, is elicited via history which is unreliable, and in individuals at higher risk for delayed gastric emptying, this may pose a greater threat for aspiration. Using gastric ultrasonography as a screening tool prior to planning the anesthetic induction and technique can help avoid unnecessary perioperative complications. acid aspiration syndrome aspiration pneumonia diabetes mellitus gastric acid aspiration syndrome ultrasonography Medicine R Padubidri S Balakrishna Achar verfasserin aut T Gurumurthy verfasserin aut Manasa Acharya verfasserin aut In Medical Journal of Dr. D.Y. Patil Vidyapeeth Wolters Kluwer Medknow Publications, 2019 15(2022), 4, Seite 561-564 (DE-627)1760594458 25898310 nnns volume:15 year:2022 number:4 pages:561-564 https://doi.org/10.4103/mjdrdypu.mjdrdypu_75_21 kostenfrei https://doaj.org/article/55c18f351fe044a5bf57ca1dfc5c36fd kostenfrei http://www.mjdrdypv.org/article.asp?issn=2589-8302;year=2022;volume=15;issue=4;spage=561;epage=564;aulast=D kostenfrei https://doaj.org/toc/2589-8302 Journal toc kostenfrei https://doaj.org/toc/2589-8310 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_206 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4305 GBV_ILN_4338 AR 15 2022 4 561-564 |
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10.4103/mjdrdypu.mjdrdypu_75_21 doi (DE-627)DOAJ024949051 (DE-599)DOAJ55c18f351fe044a5bf57ca1dfc5c36fd DE-627 ger DE-627 rakwb eng Delma D Cunha verfasserin aut Gastric ultrasonography in assessment and quantification of gastric contents in fasting diabetic and nondiabetic patients 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Context: Gastric ultrasound is an emerging point-of-care diagnostic tool to examine stomach contents and determine pulmonary aspiration risk at the bedside. This is helpful in guiding airway and/or anesthetic management in the acute care setting, when nil per oral (NPO) status is doubtful or unknown or patient has conditions or comorbidities that affect gastric emptying. Aims: The objectives of the study were to evaluate and quantify the gastric contents and grade the fullness of the stomach in fasting patients. Settings and Design: This was an observational, analytical study conducted on patients who presented for elective surgeries who were fasted for 8 hours for solids and 6 hours for clear liquids. Materials and Methods: Adult patients aged between 18 and 70 years of American Society of Anesthesiology physical status 1–3 were included in the study. Gastric ultrasonography was performed and gastric volume was calculated. Data were entered in Microsoft Excel 2007 and analyzed using SPSS version 22.0. Results: Our study included a total of eighty subjects. The mean age in the diabetic group was 49.3 ± 16.4 years and in the nondiabetic group 49.4 ± 16.8 years. Despite fasting status, 75% of the subjects were found to have Grade 1 (up to 100 ml) gastric contents on ultrasonography. The data were found to be statistically significant with P < 0.05. There was no significant correlation of age and ultrasonography findings. However, body mass index of the patient was found to have a strong correlation with gastric content and its volume (P < 0.0001). Conclusion: In the current practice, NPO status, especially for emergency cases, is elicited via history which is unreliable, and in individuals at higher risk for delayed gastric emptying, this may pose a greater threat for aspiration. Using gastric ultrasonography as a screening tool prior to planning the anesthetic induction and technique can help avoid unnecessary perioperative complications. acid aspiration syndrome aspiration pneumonia diabetes mellitus gastric acid aspiration syndrome ultrasonography Medicine R Padubidri S Balakrishna Achar verfasserin aut T Gurumurthy verfasserin aut Manasa Acharya verfasserin aut In Medical Journal of Dr. D.Y. Patil Vidyapeeth Wolters Kluwer Medknow Publications, 2019 15(2022), 4, Seite 561-564 (DE-627)1760594458 25898310 nnns volume:15 year:2022 number:4 pages:561-564 https://doi.org/10.4103/mjdrdypu.mjdrdypu_75_21 kostenfrei https://doaj.org/article/55c18f351fe044a5bf57ca1dfc5c36fd kostenfrei http://www.mjdrdypv.org/article.asp?issn=2589-8302;year=2022;volume=15;issue=4;spage=561;epage=564;aulast=D kostenfrei https://doaj.org/toc/2589-8302 Journal toc kostenfrei https://doaj.org/toc/2589-8310 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_206 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4305 GBV_ILN_4338 AR 15 2022 4 561-564 |
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10.4103/mjdrdypu.mjdrdypu_75_21 doi (DE-627)DOAJ024949051 (DE-599)DOAJ55c18f351fe044a5bf57ca1dfc5c36fd DE-627 ger DE-627 rakwb eng Delma D Cunha verfasserin aut Gastric ultrasonography in assessment and quantification of gastric contents in fasting diabetic and nondiabetic patients 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Context: Gastric ultrasound is an emerging point-of-care diagnostic tool to examine stomach contents and determine pulmonary aspiration risk at the bedside. This is helpful in guiding airway and/or anesthetic management in the acute care setting, when nil per oral (NPO) status is doubtful or unknown or patient has conditions or comorbidities that affect gastric emptying. Aims: The objectives of the study were to evaluate and quantify the gastric contents and grade the fullness of the stomach in fasting patients. Settings and Design: This was an observational, analytical study conducted on patients who presented for elective surgeries who were fasted for 8 hours for solids and 6 hours for clear liquids. Materials and Methods: Adult patients aged between 18 and 70 years of American Society of Anesthesiology physical status 1–3 were included in the study. Gastric ultrasonography was performed and gastric volume was calculated. Data were entered in Microsoft Excel 2007 and analyzed using SPSS version 22.0. Results: Our study included a total of eighty subjects. The mean age in the diabetic group was 49.3 ± 16.4 years and in the nondiabetic group 49.4 ± 16.8 years. Despite fasting status, 75% of the subjects were found to have Grade 1 (up to 100 ml) gastric contents on ultrasonography. The data were found to be statistically significant with P < 0.05. There was no significant correlation of age and ultrasonography findings. However, body mass index of the patient was found to have a strong correlation with gastric content and its volume (P < 0.0001). Conclusion: In the current practice, NPO status, especially for emergency cases, is elicited via history which is unreliable, and in individuals at higher risk for delayed gastric emptying, this may pose a greater threat for aspiration. Using gastric ultrasonography as a screening tool prior to planning the anesthetic induction and technique can help avoid unnecessary perioperative complications. acid aspiration syndrome aspiration pneumonia diabetes mellitus gastric acid aspiration syndrome ultrasonography Medicine R Padubidri S Balakrishna Achar verfasserin aut T Gurumurthy verfasserin aut Manasa Acharya verfasserin aut In Medical Journal of Dr. D.Y. Patil Vidyapeeth Wolters Kluwer Medknow Publications, 2019 15(2022), 4, Seite 561-564 (DE-627)1760594458 25898310 nnns volume:15 year:2022 number:4 pages:561-564 https://doi.org/10.4103/mjdrdypu.mjdrdypu_75_21 kostenfrei https://doaj.org/article/55c18f351fe044a5bf57ca1dfc5c36fd kostenfrei http://www.mjdrdypv.org/article.asp?issn=2589-8302;year=2022;volume=15;issue=4;spage=561;epage=564;aulast=D kostenfrei https://doaj.org/toc/2589-8302 Journal toc kostenfrei https://doaj.org/toc/2589-8310 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_206 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4305 GBV_ILN_4338 AR 15 2022 4 561-564 |
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gastric ultrasonography in assessment and quantification of gastric contents in fasting diabetic and nondiabetic patients |
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Gastric ultrasonography in assessment and quantification of gastric contents in fasting diabetic and nondiabetic patients |
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Context: Gastric ultrasound is an emerging point-of-care diagnostic tool to examine stomach contents and determine pulmonary aspiration risk at the bedside. This is helpful in guiding airway and/or anesthetic management in the acute care setting, when nil per oral (NPO) status is doubtful or unknown or patient has conditions or comorbidities that affect gastric emptying. Aims: The objectives of the study were to evaluate and quantify the gastric contents and grade the fullness of the stomach in fasting patients. Settings and Design: This was an observational, analytical study conducted on patients who presented for elective surgeries who were fasted for 8 hours for solids and 6 hours for clear liquids. Materials and Methods: Adult patients aged between 18 and 70 years of American Society of Anesthesiology physical status 1–3 were included in the study. Gastric ultrasonography was performed and gastric volume was calculated. Data were entered in Microsoft Excel 2007 and analyzed using SPSS version 22.0. Results: Our study included a total of eighty subjects. The mean age in the diabetic group was 49.3 ± 16.4 years and in the nondiabetic group 49.4 ± 16.8 years. Despite fasting status, 75% of the subjects were found to have Grade 1 (up to 100 ml) gastric contents on ultrasonography. The data were found to be statistically significant with P < 0.05. There was no significant correlation of age and ultrasonography findings. However, body mass index of the patient was found to have a strong correlation with gastric content and its volume (P < 0.0001). Conclusion: In the current practice, NPO status, especially for emergency cases, is elicited via history which is unreliable, and in individuals at higher risk for delayed gastric emptying, this may pose a greater threat for aspiration. Using gastric ultrasonography as a screening tool prior to planning the anesthetic induction and technique can help avoid unnecessary perioperative complications. |
| abstractGer |
Context: Gastric ultrasound is an emerging point-of-care diagnostic tool to examine stomach contents and determine pulmonary aspiration risk at the bedside. This is helpful in guiding airway and/or anesthetic management in the acute care setting, when nil per oral (NPO) status is doubtful or unknown or patient has conditions or comorbidities that affect gastric emptying. Aims: The objectives of the study were to evaluate and quantify the gastric contents and grade the fullness of the stomach in fasting patients. Settings and Design: This was an observational, analytical study conducted on patients who presented for elective surgeries who were fasted for 8 hours for solids and 6 hours for clear liquids. Materials and Methods: Adult patients aged between 18 and 70 years of American Society of Anesthesiology physical status 1–3 were included in the study. Gastric ultrasonography was performed and gastric volume was calculated. Data were entered in Microsoft Excel 2007 and analyzed using SPSS version 22.0. Results: Our study included a total of eighty subjects. The mean age in the diabetic group was 49.3 ± 16.4 years and in the nondiabetic group 49.4 ± 16.8 years. Despite fasting status, 75% of the subjects were found to have Grade 1 (up to 100 ml) gastric contents on ultrasonography. The data were found to be statistically significant with P < 0.05. There was no significant correlation of age and ultrasonography findings. However, body mass index of the patient was found to have a strong correlation with gastric content and its volume (P < 0.0001). Conclusion: In the current practice, NPO status, especially for emergency cases, is elicited via history which is unreliable, and in individuals at higher risk for delayed gastric emptying, this may pose a greater threat for aspiration. Using gastric ultrasonography as a screening tool prior to planning the anesthetic induction and technique can help avoid unnecessary perioperative complications. |
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Context: Gastric ultrasound is an emerging point-of-care diagnostic tool to examine stomach contents and determine pulmonary aspiration risk at the bedside. This is helpful in guiding airway and/or anesthetic management in the acute care setting, when nil per oral (NPO) status is doubtful or unknown or patient has conditions or comorbidities that affect gastric emptying. Aims: The objectives of the study were to evaluate and quantify the gastric contents and grade the fullness of the stomach in fasting patients. Settings and Design: This was an observational, analytical study conducted on patients who presented for elective surgeries who were fasted for 8 hours for solids and 6 hours for clear liquids. Materials and Methods: Adult patients aged between 18 and 70 years of American Society of Anesthesiology physical status 1–3 were included in the study. Gastric ultrasonography was performed and gastric volume was calculated. Data were entered in Microsoft Excel 2007 and analyzed using SPSS version 22.0. Results: Our study included a total of eighty subjects. The mean age in the diabetic group was 49.3 ± 16.4 years and in the nondiabetic group 49.4 ± 16.8 years. Despite fasting status, 75% of the subjects were found to have Grade 1 (up to 100 ml) gastric contents on ultrasonography. The data were found to be statistically significant with P < 0.05. There was no significant correlation of age and ultrasonography findings. However, body mass index of the patient was found to have a strong correlation with gastric content and its volume (P < 0.0001). Conclusion: In the current practice, NPO status, especially for emergency cases, is elicited via history which is unreliable, and in individuals at higher risk for delayed gastric emptying, this may pose a greater threat for aspiration. Using gastric ultrasonography as a screening tool prior to planning the anesthetic induction and technique can help avoid unnecessary perioperative complications. |
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The mean age in the diabetic group was 49.3 ± 16.4 years and in the nondiabetic group 49.4 ± 16.8 years. Despite fasting status, 75% of the subjects were found to have Grade 1 (up to 100 ml) gastric contents on ultrasonography. The data were found to be statistically significant with P < 0.05. There was no significant correlation of age and ultrasonography findings. However, body mass index of the patient was found to have a strong correlation with gastric content and its volume (P < 0.0001). Conclusion: In the current practice, NPO status, especially for emergency cases, is elicited via history which is unreliable, and in individuals at higher risk for delayed gastric emptying, this may pose a greater threat for aspiration. 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