Ultrasound Assessment of Gastric Content for Semi Emergency Surgery
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Anesthesia
- Sponsor
- Centre Hospitalier Universitaire de Saint Etienne
- Enrollment
- 300
- Locations
- 1
- Primary Endpoint
- patients with full stomach
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
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.
Investigators
Eligibility Criteria
Inclusion Criteria
- •undergoing a non-elective surgery
- •having a preoperative fasting period of six hours
Exclusion Criteria
- •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.
Outcomes
Primary Outcomes
patients with full stomach
Time Frame: baseline
Full stomach is defined by an antral cross-section area (CSA) \> 410 mm2, measured by ultrasonography
Secondary Outcomes
- 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)