Role Of Point of Care Gastric Ultrasound In Assessment Of Gastric Emptying In Individuals Scheduled For Elective Procedure
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 1,200
- 试验地点
- 1
- 主要终点
- To determine the prevalence of delayed gastric emptying using point of care gastric ultrasound in patients scheduled for elective procedures .
研究概览
简要总结
Eligible participants will include adults aged over 20 years, regardless of sex, who are scheduled for elective procedure.Baseline demographic and clinical parameters will be recorded, including age, sex, height, weight, and BMI. Relevant comorbidities such as diabetes mellitus, chronic kidney disease (CKD), Parkinson’s disease, and any gastrointestinal disorders will be noted. Medication histories will be collected, with specific attention to drugs that delay gastric emptying, including proton pump inhibitors (PPIs),Glucagon like peptide-1 (GLP-1 )receptor agonists, opioids, anticholinergics, and anti-Parkinsonian agents ,calcium channel blockers Laboratory data such as HbA1c (within the previous 3 months) and serum creatinine will be noted if applicable.
Point-of-care gastric ultrasound will be performed in supine and right lateral decubitus positions,content type whether solid,clear fluid or empty will be noted and gastric volume will be estimated using perlas formula if content is clear liquid.
Perlas formula GV (ml) = 27.0 + 14.6 × CSA (cm²) – 1.28 × age (years)
Data will be analysed to assess any relationship if any between patient specific factors and gastric sonographic findings .
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 20.00 Year(s) 至 99.00 Year(s)（—）
- 性别
- All
入选标准
- •Individuals aged above 20 years scheduled for elective surgery, with an expected fasting period of at least 6 hours for solids and 2 hours for clear fluids.
排除标准
- •Previous gastric surgery (e.g., gastric bypass, gastrectomy),Pregnancy,Pediatric group,Emergency surgeries,Patients who are critically ill or require immediate airway intervention, Inability to perform gastric ultrasound such as, poor sonographic window,Refusal to participate.
结局指标
主要结局
To determine the prevalence of delayed gastric emptying using point of care gastric ultrasound in patients scheduled for elective procedures .
时间窗: 16 months
次要结局
- To assess gastric volume and content type (empty, fluid, thick fluid or solid) using Point of Care Gastric Ultrasound (POCUS) in individuals posted for elective procedure and to evaluate the relationship ,if any between ultrasound findings and patient-specific factors such as BMI, HBA1C, eGFR, comorbidities (like diabetes, GERD), history of drug use like proton pump inhibitors, anti-Parkinsonian drugs, calcium channel blockers, Glucagon like peptide-1 agonists etc
研究者
Dr Jyoti Panda
Aster CMI Hospital