Gastric Ultrasound Assessment of Two Preoperative Fasting Regimens in Pediatric Patients: a Randomized Clinical Trial.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Anesthesia
- Sponsor
- Tanta University
- Enrollment
- 200
- Locations
- 1
- Primary Endpoint
- proportion of patients with a risky stomach.
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
The presence of gastric contents makes an aspiration event more likely , and as a result, preoperative fasting guidelines are designed to provide adequate time for gastric emptying in patients undergoing surgery. this study will be conducted to assess the gastric volume and content with the help of ultrasound in fasted pediatric patients scheduled for elective surgeries
Detailed Description
it is unknown how many patients have gastric volumes that place them at increased risk of aspiration despite adequate fasting. There is a growing interest in the use of bedside ultrasonography to assess gastric content and volume. It has been suggested that the gastric antrum in particular can be assessed reliably by sonography. hence, this study will be conducted to assess the gastric volume and content with the help of ultrasound in fasted pediatric patients scheduled for elective surgeries which will help to detect accuracy of preoperative fasting hours.
Investigators
Mona Raafat Elghamry
principal investigator
Tanta University
Eligibility Criteria
Inclusion Criteria
- •paediatric patients aged 6-12 years old
- •ASA physical status I and II
- •scheduled for elective surgeries
- •the anticipated duration of 30-60 min
Exclusion Criteria
- •parents' refusal
- •overweight or obesity
- •expected difficult airway management
- •increased abdominal pressure
- •diabetes mellitus
- •congenital diseases
- •GERD or esophageal disease
- •uncooperative patients,
- •mental retardation or neurological disease
- •upper airway surgeries.
Outcomes
Primary Outcomes
proportion of patients with a risky stomach.
Time Frame: immediately preoperative
bedside ultrasound to estimate the gastric volume in milliliter
Secondary Outcomes
- parents satisfaction(after PACU discharge (within 2 hours postoperative))
- episodes of gastric regurgitation, vomiting , aspiration(during induction or emergence from anesthesia (within 30 minutes))
- cancellation(decision will be taken within 30 minutes preoperative)
- adverse events(preoperative or postoperative)
- gastric volume(immediately preoperative (within 30 minutes))
- gastric content quality(immediately preoperative)
- type of last meal(last meal within 24 hours preoperative)
- fasting hours(the new preoperative fasting (6 hours for solids, 4 hours for milk, non-clear fluid or light breakfast, and 0 hours for clear fluids))