MedPath

Gastric Emptying Ultrasound Research Study

Not Applicable
Completed
Conditions
Gastric Emptying
Interventions
Procedure: Ultrasound
Other: 2% milk
Other: apple juice
Other: ensure clear
Registration Number
NCT02938065
Lead Sponsor
Children's Hospital Medical Center, Cincinnati
Brief Summary

The proposed study will use this technology to observe emptying of the stomach of a protein and carbohydrate rich clear liquid sports/nutrition drink.

Detailed Description

In order to ensure safety for elective anesthesia, standard practice requires pre-operative fasting to ensure that the stomach is empty prior to induction. The question of timing of pre-operative consumption of oral fluids remains vexed, and challenges anesthesiologists on a frequent basis. In the past few years, a new controversy in pre-operative fasting has arisen: clear drinks with increased content of protein and carbohydrate have been introduced to the market. Families and professionals alike are confused whether to regard these products as clear liquids (2 hours fasting) or as solids (at least 6 hours).

Ultrasound is now considered an accepted tool in the anesthesia literature as a surrogate for aspiration risk with different materials and in different disease states.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
48
Inclusion Criteria
  • 8-14 years old
  • Willing to not eat or drink for at least 8 hours overnight beforehand
  • Have a BMI < 35
Exclusion Criteria
  • Use tobacco of any kind
  • Taking any medications (Females: oral contraceptives okay)
  • Suffers from diabetes, Crohn's Disease, Celiac Disease, Malabsorption, Galactosemia
  • Has ever has surgery on esophagus, stomach, or small bowel
  • Has allergies or intolerances to milk, apple juice, or ensure clear
  • Has any surgical condition, disease, or on any medication that could alter stomach emptying rate
  • Has any disease that limits day-to-day activities
  • Is pregnant or possibly could be pregnant

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
2% MilkUltrasound16 participants will drink 10 ounces of 2% milk Ultrasound scan will be performed at the time of beverage administration and then every 30 minutes thereafter until beverage has been cleared from the stomach
Apple JuiceUltrasound16 participants will drink 10 ounces of apple juice Ultrasound scan will be performed at the time of beverage administration and then every 30 minutes thereafter until beverage has been cleared from the stomach
Ensure ClearUltrasound16 participants will drink 10 ounces of ensure clear Ultrasound scan will be performed at the time of beverage administration and then every 30 minutes thereafter until beverage has been cleared from the stomach
2% Milk2% milk16 participants will drink 10 ounces of 2% milk Ultrasound scan will be performed at the time of beverage administration and then every 30 minutes thereafter until beverage has been cleared from the stomach
Apple Juiceapple juice16 participants will drink 10 ounces of apple juice Ultrasound scan will be performed at the time of beverage administration and then every 30 minutes thereafter until beverage has been cleared from the stomach
Ensure Clearensure clear16 participants will drink 10 ounces of ensure clear Ultrasound scan will be performed at the time of beverage administration and then every 30 minutes thereafter until beverage has been cleared from the stomach
Primary Outcome Measures
NameTimeMethod
Measurement of rate of gastric emptying through measure of the gastric antral cross-sectional area (CSA)Participants will be followed up to 6 hours after drinking 10 ounces of beverage
Subjective evolution of hunger after ingestion of clear fluids using a validated visual analog scale called the Hunger Satiety ScoreParticipants will be followed up to 6 hours after drinking 10 ounces of beverage
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Cincinnati Children's Medical Center

🇺🇸

Cincinnati, Ohio, United States

© Copyright 2025. All Rights Reserved by MedPath