Comparision of Ultrasound Guided Fasted Gastric Residual Volume between Diabetic and Non-Diabetic Patients Scheduled for Elective Surgeries- An Analytical Cross Sectional Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 112
- 试验地点
- 1
- 主要终点
- To compare fasted gastric residual volume between diabetic and non- diabetic patients scheduled for elective surgeries by estimating antral cross sectional area by using ultrasound.
研究概览
简要总结
Aspiration of gastric contents during perioperative period is one of the most feared
complications with high fatality rate in anaesthesia.
• Overall incidence of gastric content aspiration ranges between <0.1% and 19% and
[1] ,[2]
aspiration pneumonia accounts for 9% of all anaesthesia related mortality.
• Patients with long-standing diabetes have a higher incidence of autonomic
dysfunction causing gastropathy and delayed gastric emptying which predisposes
[3]
them to increased risk of aspiration, than non-diabetic fasted population.
• American Society of Anesthesiologists (ASA) in 2017 came up with the conclusion
that patients with concomitant diseases like obesity , diabetes mellitus, obstetric
patients, critically ill patients have prolonged stomach emptying time, so it requires
increasing the standard nil per oral (NPO)
• Gastric ultrasound (GUS) is an emerging point of care diagnostic tool to examine
stomach contents, determine the gastric residual volume and pulmonary aspiration
risk at the bedside.
• This is also helpful in guiding the anesthesiologist in airway management in the acute
care setting , when nil per oral(NPO) status is doubtful or unknown or patient has
conditions or comorbidities like diabetes mellitus(DM) that effect gastric emptying.
• Studies have shown an association of gastroparesis with duration of diabetes
mellitus(DM) and other factors such as age and body mass index (BMI). [2]
.
• Therefore we planned this analytical cross sectional study with an aim to compare
gastric volume between diabetic and non-diabetic patients using gastric ultrasound
in fasted state
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 18.00 Year(s) 至 60.00 Year(s)（—）
- 性别
- All
入选标准
- •INCLUSION CRITERIA FOR DIABETIC PATIENTS:
- •American Society of Anesthesiology (ASA) physical status II, III scheduled for elective surgery.
- •Patients of both sexes aged more than 18 years.
- •Patients with diabetic history of more than 5 years .
- •Body mass index [BMI] less than 35 kg/m2 INCLUSION CRITERIA FOR NON- DIABETIC PATIENTS
- •American Society of Anesthesiology (ASA) physical status I, II, III scheduled for elective surgery
- •Body mass index [BMI] less than 35 kg/m2.
排除标准
- •Patient on medication of upper gastrointestinal symptoms .
- •Gastroesophageal reflux disease .
- •Previous gastrointestinal surgery .
- •Recent abdominal trauma .
- •Chronic kidney disease .
- •Pregnant patients .
结局指标
主要结局
To compare fasted gastric residual volume between diabetic and non- diabetic patients scheduled for elective surgeries by estimating antral cross sectional area by using ultrasound.
时间窗: This will be done preoperatively
次要结局
- To find association between ultrasound-guided fasted gastric residual volume and duration of diabetes in patients scheduled for elective surgeries.(This will be done preoperatively)
- To find association between ultrasound-guided fasted gastric residual volume and body mass index (BMI) in patients scheduled for elective surgery.(This will be done preoperatively)
研究者
Dungala Sampreeti
NKP salve institute of medical sciences and research centre and Lata Mangeshkar Hospital