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ltrasound assessment of gastric contents in elective and non-elective patients with and without diabetes mellitus

Conditions
perioperative gastric volume
E11
Type 2 diabetes mellitus
Registration Number
DRKS00020398
Lead Sponsor
Sana Klinikum Borna, Klinik für Anästhesie, Intensivmedizin, Schmerztherapie und Palliativmedizin
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
All
Target Recruitment
520
Inclusion Criteria

Patients eligible for consent from the age of 18

Patient consent

ASA classification I-III, without neurological deficits in terms of vigilant and language comprehension

Exclusion Criteria

Rejection by the patient

Previous operations on the stomach and distal esophagus

pregnancy

Dissecting premedication

Dissecting premedication

patients unable to give consent and cared for

Study & Design

Study Type
observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Part 1<br><br>1. Distribution of the Perlas grades (grade 0 = empty, grade 1 = little fluid, grade 2 = lots of fluid) and stomach with solid contents<br><br>2. the sonographically measured preoperative stomach volume depending on the time and type of the last food and liquid consumed (preoperatively fasted yes vs. no); 1.5 ml / kg body weight (KG) is the limit, i.e. <1.5 ml / kg body weight = fasting,> 1.5 ml / kg = not fasting<br><br>Part 2<br><br>In the subsequent analysis (non-diabetes vs. diabetes)<br><br>1. Distribution of the Perlas grades (grade 0 = empty, grade 1 = little fluid, grade 2 = lots of fluid) and stomach with solid contents<br><br>2. the sonographically measured preoperative stomach volume depending on the time and type of the last food and liquid consumed (preoperatively fasted yes vs. no); 1.5 ml / kg body weight (KG) is the limit, i.e. <1.5 ml / kg body weight = fasting,> 1.5 ml / kg = not fasting<br>-> Comparison between diabetes and non-diabetes
Secondary Outcome Measures
NameTimeMethod
Influence of relevant secondary diseases or other factors on gastric emptying or preoperative sobriety<br>- elective surgery vs. non-elective surgery<br>- BMI> 30 kg / m2<br>- preoperative opioid therapy, acute and chronic<br>- Chronic kidney disease with a GFR <60 ml / min (1.73 m) ^ - 2, longer than 3 months<br>- Underactive thyroid<br>- Neurological diseases (Parkinson's disease, multiple sclerosis, etc.)<br><br>Necessary change of the previously planned anesthesia procedure<br><br>Proportion of non-fasting non-selective patients in all non-selective patients
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