Prevalence of Aspiration Risk Assessed by Gastric Ultrasonography in Diabetic Patients Undergoing an Elective Surgery

Faculty of Medicine, Srinakharinwirot University0 个研究点目标入组 119 人开始时间: 2023年6月15日最近更新: 2024年8月19日

适应症

试验速览

阶段: 不适用
状态: 已完成
发起方
入组人数: 119

研究概览入排标准研究者记录与标识符相似试验

研究概览

简要总结

The prevalence of the risk of aspiration of gastric content from the stomach into the lungs, characterized by retained gastric contents and a gastric volume greater than 1.5 mL/kg, in diabetic patients undergoing emergency surgery, was found to be 18.49% using ultrasound. Significant risk factors associated with this condition were age (65-84 years) and elevated BUN levels, with odd ratios of 20.81 (95%CI 2.01-215.54) and 1.05 (95%CI 1.01-1.09), respectively.

研究设计

研究类型: Observational

入排标准

年龄范围: 18 Years 至 85 Years（—）
性别: All

入选标准

•patients aged 18 years or older, patients diagnosed with type 2 diabetes for at least 3 months, and patients undergoing non-emergency surgery following fasting guidelines

排除标准

•patients who cannot adhere to fasting standards or undergo emergency surgery, patients with COVID-19 or positive PUI, patients with type 1 diabetes, patients with diabetes accompanied by high blood sugar conditions such as diabetic ketoacidosis and hyperosmolar hyperglycemic syndrome, patients with abnormal gastrointestinal motility, patients with acute gastrointestinal bleeding, patients with intestinal obstruction, patients with gastric ulcers, patients with liver abscess, patients with small and large intestinal tumors, or patients with a history of gastrointestinal surgery, except for liver cirrhosis, choledochal cysts, gastroesophageal reflux disease, peptic ulcers, and small intestine ulcers. Patients undergoing peritoneal dialysis (CAPD) and patients with other conditions specified in the data collection form that may cause bowel ileus, such as hypokalemia, hyponatremia, hypomagnesemia, and sepsis, are also excluded. Pregnant patients, patients with nasogastric or orogastric tubes, patients who have taken medications affecting gastric function and acid levels, such as prokinetic drugs, H2-blockers, tricyclic antidepressants, and glucagon-like peptide (GLP)-1 agonists within 2 hours before anesthesia induction, patients with mental health problems, or patients who are unable to provide information regarding fasting

研究者

发起方

Faculty of Medicine, Srinakharinwirot University

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