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Gastric Insufflation During Positive Pressure Ventilation

Not Applicable
Conditions
Gastric Insufflation
Registration Number
NCT04964882
Lead Sponsor
SMG-SNU Boramae Medical Center
Brief Summary

Effect of peak inspiratory pressure on the gastric insufflation is evaluated using ultrasonography during face mask ventilation in obese adults. Effect of facial mask holding techniques on the gastric insufflation is also evaluated.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
78
Inclusion Criteria
  • Patients with body mass index ≥ 30 kg/m2 who are scheduled for general anesthesia
Exclusion Criteria
  • Risk of delayed gastric emptying or gastroesophageal reflux (gastroesophageal reflux disease, achalasia, history of stomach surgery, gastrointestinal obstruction, uncontrolled DM)
  • Pregnancy
  • Known or predicted difficult airway

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Primary Outcome Measures
NameTimeMethod
Presence of gastric insufflation in the epigastric regionDuring anesthesia induction

Under ultrasound, air signal is assessed in the epigastric region

Secondary Outcome Measures
NameTimeMethod
Expiratory tidal volumeDuring anesthesia induction

Expiratory tidal volumes displayed on the monitor of the anesthesia machine are recorded.

Cross-sectional area of the antral cross-sectional areaDuring anesthesia induction

During ultrasound examination, anterior-posterior diameter and cranio-caudal diameter of the antrum are measured. Cross-sectional area of the gastric antrum is calculated as follows; (AP × CC × π)/4 (AP=antero-posterior diameter and CC=cranio-caudal diameter).

Presence of gastric insufflation in the upper esophageal regionDuring anesthesia induction

Under ultrasound, air signal is assessed in the upper esophageal region.

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