Comparison of the Risk of Pulmonary Aspiration Assessed by Gastric Ultrasound in Elderly Patients in Fasting Group vs. Carbohydrate Loading Group
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 58
- 试验地点
- 2
- 主要终点
- Incidence of risk of pulmonary aspiration assessed by gastric ultrasound defined by Perlas grade 2
研究概览
简要总结
The aim of this study was to compare the risk of pulmonary aspiration assessed with gastric ultrasonography in elderly patients, undergoing elective surgery.
详细描述
Recently, carbohydrate loading is suggested for enhanced recovery after surgery.
Aging process often accompanies gastrointestinal dysmotility. Therefore, elderly patients might have undiagnosed gastro-esophageal reflux disease, or other gastrointestinal disorders. Moreover, because of their co-morbid underlying diseases and multi-drug effects, gastric emptying might be further delayed in the elderly patients.
This study was designated to compared the risk of pulmonary aspiration in elderly patients, with gastric ultrasound between fasting group and carbohydrate loading group.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Double (Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •aged from 65
- •scheduled for elective surgery
- •American Society of Anesthesiologists physical status 1 or 2
排除标准
- •Diagnosed for diseases that might delay gastric emptying (obesity, diabetes, hiatal hernia, gastro-esophageal reflux disease, ileus)
- •psychiatric or mental disorders
- •parkinsonism
- •alcoholism
- •drug abuse
结局指标
主要结局
Incidence of risk of pulmonary aspiration assessed by gastric ultrasound defined by Perlas grade 2
时间窗: 2 hours after intake of last allowable carbohydrate drink time
Incidence of Perlas grade 2. Clear fluid is detected in gastric antrum by gastric antral ultrasound on both supine and right lateral decubitus position. Perlas grade 2: fluid appears in both supine and right lateral decubitus positions Perlas grade 1: fluid is detected only in right decubitus position Perlas grade 0: fluid is not detected in both supine and right lateral decubitus positions.
次要结局
- cross-sectional area of gastric antrum in right decubitus position(2 hours after intake of last allowable carbohydrate drink time)
- cross-sectional area of gastric antrum in supine position(2 hours after intake of last allowable carbohydrate drink time)
研究者
Eunah Cho, MD
Clinical Assistant Professor
Kangbuk Samsung Hospital