A Deep Learning Approach to Identify Patients With Full Stomach on Ultrasonography
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- Huashan Hospital
- Enrollment
- 800
- Locations
- 1
- Primary Endpoint
- Diagnostic accuracy of the model
Study Overview
Brief Summary
Preoperative gastric ultrasonography is a newly developed tool used to evaluate gastric content and volume in assessing perioperative aspiration risk and guide anaesthetic management. And then build up effective clinical predictive models for identification of full stomach, which can predict the high aspiration risk.
Detailed Description
Aspiration of gastric contents can be a serious anesthetic related complication. Preoperative fasting was a common practice to decrease perioperative aspiration risk. However，one of most important prescription of enhanced recovery after surgery protocols is the reduction of preoperative fasting time in opposition to the traditional recommendation of overnight fast. Gastric antral sonography prior to anesthesia may have a role in identifying patients at risk of aspiration. The aim of this study is to construct models using deep learning for identification of full stomach, which can predict the aspiration risk.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Diagnostic
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 80 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients undergoing surgery Age: 18~85 yeas ASA 1~3
Exclusion Criteria
- •Diabetes mellitus Upper gastrointestinal pathology such as hiatus hernia, oesophageal cancer Prior surgery to upper GI On medication that may affect gastric emptying time Pregnancy
Arms & Interventions
experiment
The data will be collected in two phases. Firstly, after a fasting period of eight hours, the participants received ultrasound scan by expert doctor with the objective of measuring the fasting gastric antrum area in supine and right lateral decubitus(RLD)position(phase 1).Then the expert made the grading according to the ultrasound image.
In phase 2, the participant will ingest 0 to 400ml of the study drink described below randomly. The individual will be immediately positioned in the supine position and another ultrasound scan will be carried out. Again in the RLD position.
Intervention: Intervention oral supplement (Dietary Supplement)
Outcomes
Primary Outcomes
Diagnostic accuracy of the model
Time Frame: 1 year
Secondary Outcomes
No secondary outcomes reported
Investigators
le tian wang
Doctor
Huashan Hospital