Assessing gastric volume using ultrasound for fasting status.

Completed

• Conditions: ASA 1

• Registration Number: CTRI/2018/07/014851
• Lead Sponsor: SRI RAMAKRISHNA HOSPITAL

Brief Summary

Perioperative aspiration of gastric contents is a rare but serious complication of anaesthesia. Fasting before general anaesthesia aims to reduce the volume and acidity of stomach contents during surgery, thus reducing the risk of regurgitation/aspiration . Hence in an attempt to reduce the fasting hours of a patient pre-operatively without increasing the risk of pulmonary aspiration we compared the gastric volume using ultrasonography and pHof gastric aspirate by pH strip in patients after overnight fasting and after ingestion of 200 ml apple juice 2 hours prior to surgery. After ethical committee approval study was started at Sri Ramakrishna Hospital, Coimbatore. Written and informed consents were taken. Duration of study was 4 months from March 2018 to June 2018. Total 50 patients were equally divided to each group by computer generated randomization. Group I included patients with over night fasting and Group II had  patients who were provided with the 200ml of apple juice 2 hours before surgery. Inclusion criteria - age 18 to 60 years, ASA I, BMI <30kg/m2 , non abdominal surgeries under general anaesthesia. Exclusion criteria - gastroesophageal reflux disease, pregnancy and ASA II III and IV. Primary objective - comparing the gastric volume using ultrasound in both groups. Secondary objective - comparing pH in both the groups.

Detailed Description

Not available

Study Timeline

• Study Start: 2018-02-08
• Last Update Posted: 2019-01-02
• Study Completion: 2019-01-15

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• 1Patients undergoing elective non abdominal surgery under general anaesthesia..
• 2Patients of age 18 to 60 years.
• 3ASA Grade I patients.
• 4Patients who provides consent 5Patients with BMI < 30kg/m2.

Exclusion Criteria

• 1Patient refusal to consent.
• 2Patients with GERD.
• 3Pregnant patients.
• 4ASA grade ΙΙ , III and IV patients.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
To assess gastric volume using ultrasonography in patients after overnight fasting and after ingestion of 200ml of apple juice 2 hours prior to surgery.	Gastric volume will be calculated using ultrasound in preoperative area before shifting to operation theatre.

Secondary Outcome Measures

Name	Time	Method
TO ASSESS pH OF GASTRIC ASPIRATE	Immediately after intubation. Ryles tube will be inserted and aspirate will be obtained to assess the pH of gastric content by standardized pH strip.

Trial Locations

Locations (1)

SRI RAMA KRISHNA HOSPITAL; 🇮🇳 Coimbatore, TAMIL NADU, India

SRI RAMA KRISHNA HOSPITAL

🇮🇳Coimbatore, TAMIL NADU, India

YAYATI JOSHI

Principal investigator

8593944522

dryayatijoshi@gmail.com