Ultrasound Assessment of Gastric Content for Semi Emergency Surgery
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 300
- 试验地点
- 2
- 主要终点
- patients with full stomach
研究概览
简要总结
Aspiration of gastric content is a rare but serious complication of anesthesia. In this context, preoperative fasting for elective surgery is well defined. In an emergency situation, international guidelines recommend rapid sequence of anesthesia to reduce the risk of aspiration. In semi emergency situation, there is no consensus about the anesthetic procedure even if a preoperative fasting has been observed due to uncertainty of gastric emptying related to stress or painful condition. The choice of anesthesia induction technique depends mainly on the anesthetist. Ultrasonography is a non invasive bedside tool that can provide reliable quantitative information about the volume of gastric content.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Diagnostic
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •undergoing a non-elective surgery
- •having a preoperative fasting period of six hours
排除标准
- •patients with digestive diseases (gastroesophageal reflux disease, hiatal hernia, active peptic ulcer, upper gastrointestinal bleeding, vagal denervation, pyloric stenosis, extrinsic digestive compression, occlusive syndrome), neurologic diseases (spinal cord injury over T10, amylose, Shy-Drager syndrome)
- •patients with full stomach (preoperative fasting under 6 hours),
- •pregnant women (over 15 weeks of amenorrhea)
- •patients who received premedication.
结局指标
主要结局
patients with full stomach
时间窗: baseline
Full stomach is defined by an antral cross-section area (CSA) \> 410 mm2, measured by ultrasonography
次要结局
- feeling of hunger(baseline)
- duration of preoperative fasting(baseline)
- type of surgery disease(baseline)
- preoperative pain(baseline)
- inhalation of gastric contents(baseline)
- nausea and vomiting(baseline)
- type of anesthetic procedure performed(baseline)