scholarly journals S980 Point of Care Gastric Ultrasound for Predicting Residual Gastric Content and Risk of Aspiration in Ambulatory Patients for Advanced Endoscopy Procedures

2021 ◽  
Vol 116 (1) ◽  
pp. S468-S469
Author(s):  
Krishna Venkata ◽  
Hari Kalagara ◽  
Ali Ahmed ◽  
Albert Pierce ◽  
Roth Kaehler ◽  
...  
Keyword(s):  
Gastric Content ◽  
Point Of Care ◽  
Ambulatory Patients ◽  
Risk Of Aspiration

scholarly journals Point-of-care ultrasound defines gastric content in elective surgical patients with type 2 diabetes mellitus: a prospective cohort study

2019 ◽  
Author(s):  
Li Zhou ◽  
Yi Yang ◽  
Lei Yang ◽  
Wei Cao ◽  
Heng Jing ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Gastric Content ◽  
Point Of Care ◽  
Surgical Patients ◽  
Diabetic Patients ◽  
Clear Fluid ◽  
Type 2 Diabetic Patients ◽  
Full Stomach ◽  
Type 2 Diabetic

Abstract Background Delayed gastric emptying and the resultant “full stomach” is the most important risk factor for perioperative pulmonary aspiration. Using point-of-care gastric sonography, we aimed to investigate the prevalence of full stomach and its risk factors in elective surgical patients with type 2 diabetes. Methods Type 2 diabetic and non-diabetic elective surgical patients were included from July 2017 to April 2018 in a 1:1 ratio. The study was retrospectively registered at July 2017, after enrollment of the first participant. Gastric ultrasound was performed 2h after ingesting clear fluid or 6h after a light meal. Full stomach was defined by the presence of gastric content in both semi-recumbent and right lateral decubitus positions. For patients with full or intermediate stomach, consecutive ultrasound scan was performed until empty stomach was detected. Logistic regression analyses were used to identify risk factors associated with full stomach. Results Fifty-two type 2 diabetic and fifty non-diabetic patients were analyzed. The prevalence of full stomach was 48.1% (25/52) in diabetic patients, with 44.0% for 2-hour fast after clear fluid and 51.9% for 6-hour fast after a light meal, significantly higher than 8% (4/50) in non-diabetic patients (P=0.000). The average time to empty stomach in diabetic patients was 146.50±40.91 mins for clear liquid and 426.50±45.25 mins for light meal, respectively. Further analysis indicated that presence of diabetes-related eye disease was an independent risk factor of full stomach in diabetic patients (OR=4.83, P=0.010). Conclusions Almost half of type 2 diabetic patients have a full stomach following the current preoperative fasting guideline. Preoperative ultrasound assessment of gastric content in type 2 diabetic patients is suggested, especially for those with diabetes -related eye disease. Key words : type 2 diabetes mellitus; gastric emptying; regurgitation and aspiration; ultrasonography

Point-of-Care Ultrasound to Assess Gastric Content in Pediatric Emergency Department Procedural Sedation Patients

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Matthew M. Moake ◽  
Bradley C. Presley ◽  
Jeanne G. Hill ◽  
Bethany J. Wolf ◽  
Ian D. Kane ◽  
...  
Keyword(s):  
Emergency Department ◽  
Gastric Content ◽  
Point Of Care ◽  
Pediatric Emergency ◽  
Procedural Sedation ◽  
Point Of Care Ultrasound ◽  
Pediatric Emergency Department

scholarly journals Point-of-care ultrasound defines gastric content in elective surgical patients with type 2 diabetes mellitus: a prospective cohort study

2019 ◽  
Author(s):  
Li Zhou ◽  
Yi Yang ◽  
Lei Yang ◽  
Wei Cao ◽  
Heng Jing ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Gastric Content ◽  
Point Of Care ◽  
Surgical Patients ◽  
Diabetic Patients ◽  
Clear Fluid ◽  
Type 2 Diabetic Patients ◽  
Full Stomach ◽  
Type 2 Diabetic

Abstract Background Delayed gastric emptying and the resultant “full stomach” is the most important risk factor for perioperative pulmonary aspiration. Using point-of-care gastric sonography, we aimed to investigate the prevalence of full stomach and its risk factors in elective surgical patients with type 2 diabetes. Methods Type 2 diabetic and non-diabetic elective surgical patients were included from July 2017 to April 2018 in a 1:1 ratio. The study was retrospectively registered at July 2017, after enrollment of the first participant. Gastric ultrasound was performed 2h after ingesting clear fluid or 6h after a light meal. Full stomach was defined by the presence of gastric content in both semi-recumbent and right lateral decubitus positions. For patients with full or intermediate stomach, consecutive ultrasound scan was performed until empty stomach was detected. Logistic regression analyses were used to identify risk factors associated with full stomach. Results Fifty-two type 2 diabetic and fifty non-diabetic patients were analyzed. The prevalence of full stomach was 48.1% (25/52) in diabetic patients, with 44.0% for 2-hour fast after clear fluid and 51.9% for 6-hour fast after a light meal, significantly higher than 8% (4/50) in non-diabetic patients (P=0.000). The average time to empty stomach in diabetic patients was 146.50±40.91 mins for clear liquid and 426.50±45.25 mins for light meal, respectively. Further analysis indicated that presence of diabetes-related eye disease was an independent risk factor of full stomach in diabetic patients (OR=4.83, P=0.010). Conclusions Almost half of type 2 diabetic patients have a full stomach following the current preoperative fasting guideline. Preoperative ultrasound assessment of gastric content in type 2 diabetic patients is suggested, especially for those with diabetes -related eye disease. Key words : type 2 diabetes mellitus; gastric emptying; regurgitation and aspiration; ultrasonography

scholarly journals Point-of-care ultrasound defines gastric content in elective surgical patients with diabetes mellitus: a prospective cohort study

2019 ◽  
Author(s):  
Li Zhou ◽  
Yi Yang ◽  
Lei Yang ◽  
Wei Cao ◽  
Heng Jing ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Gastric Content ◽  
Point Of Care ◽  
Surgical Patients ◽  
Eye Disease ◽  
Diabetic Patients ◽  
Clear Fluid ◽  
Full Stomach ◽  
Patients With Diabetes

Abstract Background Delayed gastric emptying and the resultant “full stomach” is the most important risk factor for perioperative pulmonary aspiration. Using point-of-care gastric sonography, we aimed to investigate the prevalence of full stomach and its risk factors in elective surgical patients with diabetes mellitus. Methods Diabetic and non-diabetic elective surgical patients were included from July 2017 to April 2018 in a 1:1 ratio. Gastric ultrasound was performed 2h after ingesting clear fluid or 6h after a light meal. Full stomach was defined by the presence of gastric content in both semi-recumbent and right lateral decubitus positions. For patients with full or intermediate stomach, consecutive ultrasound scan was performed until empty stomach was detected. Logistic regression analyses were used to identify risk factors associated with full stomach. Results Fifty-two diabetic and fifty non-diabetic patients were analyzed. The prevalence of full stomach was 48.1% (25/52) in diabetic patients, with 44.0% for 2-hour fast after clear fluid and 51.9% for 6-hour fast after a light meal, significantly higher than 8% (4/50) in non-diabetic patients (P=0.000). The average time to empty stomach in diabetic patients was 146.50±40.91 mins for clear liquid and 426.50±45.25 mins for light meal, respectively. Further analysis indicated that presence of diabetes-related eye disease was an independent risk factor of full stomach in diabetic patients (OR=4.83, P=0.010). Conclusions Almost half of diabetic patients have a full stomach following the current preoperative fasting guideline. Preoperative ultrasound assessment of gastric content in diabetic patients is recommended, especially for those with diabetes mellitus-related eye disease. Key words: diabetes mellitus; gastric emptying; regurgitation and aspiration; ultrasonography

Point-of-Care Ultrasound to Assess Gastric Content

2020 ◽  
Vol 36 (8) ◽  
pp. 404-410 ◽  
Author(s):  
Matthew M. Moake ◽  
Benjamin F. Jackson ◽  
Bradley C. Presley
Keyword(s):  
Gastric Content ◽  
Point Of Care ◽  
Point Of Care Ultrasound
Sign in / Sign up

Export Citation Format

Share Document