Assessing Gastric Motility and Distention in Postoperative Gastrointestinal Surgery Using Bedside Gastric Ultrasound: Predicting Risk of Aspiration Pneumonia, Ileus, Return of Bowel Function
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 22
- 试验地点
- 1
- 主要终点
- Tolerance of diet advancement
研究概览
简要总结
Point-of-care gastric ultrasound will be used to measure stomach contents postoperative in patients who underwent colorectal surgery. Stomach volume and status (empty or full) will be compared retrospectively to the standard clinical criteria for diet advancement to determine if stomach volume via ultrasound is associated with successful diet advancement, nausea/vomiting, nasogastric tube replacement, length of stay, and other clinical outcomes. Clinicians performing clinical care will be blinded to the ultrasound exam results.
详细描述
Patient population: Patients undergoing colorectal surgery will be enrolled prospectively (both cancer and non-cancer patients).
Inclusion Criteria:
- Patients aged > 18 years of age
- Patients undergoing colorectal surgery (both cancer and non-cancer)
Exclusion Criteria:
- Patients < 18 years of age
- Patients with previous gastric surgery
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Patients aged > 18 years of age
- •Patients undergoing colorectal surgery (both cancer and non-cancer)
排除标准
- •Patients < 18 years of age
- •Patients with previous gastric surgery
- •Patients with difficult or poor ultrasound images at baseline
- •Any patient deemed a poor candidate by the treating physicians
结局指标
主要结局
Tolerance of diet advancement
时间窗: 0 - 14 days
Includes replacement of NGT, downgrading diet
次要结局
- Emesis(0 - 14 days)
- Aspiration pneumonitis(0 - 14 days)
- Time to first flatus(0 - 14 days)
- Time to first bowel movement(0 - 14 days)
研究者
Eric Schwenk
Associate Professor of Anesthesiology and Orthopedic Surgery
Thomas Jefferson University