Pre-operative sonographic assessment of fasting gastric volume among non-diabetic and diabetic patients undergoing elective surgery.
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- To compare the mean antral cross-sectional area of stomach after 8 hour of fasting in non-diabetic and diabetic patients undergoing elective surgery.
研究概览
简要总结
Perioperative aspiration of gastric contents is a serious complication and is associated with high morbidity and mortality. Diabetic patients have delayed gastric emptying due to gastroparesis, predisposing them to increased risk of aspiration as compared to non-diabetic patients. Diabetic patients are more likely to experience gastroparesis brought on by autonomic dysfunction.
Gastroparesis is a medical condition which is defined as delayed gastric emptying in absence of mechanical obstruction.
Despite adherence to ISA perioperative fasting and feeding guidelines , devastating aspiration can happen because we cannot quantify or rule out dangerous gastric content before anesthesia. Measures such as prokinetic agents and antacid use and rapid sequence induction are sometimes used empirically.
Point of care ultrasonography can be used for gastric volume assessment. It is readily available, simple, non-invasive and easy to perform.
Aim of the study is to assess the fasting gastric volume in non-diabetic compared with diabetic patients undergoing elective surgery to minimize the risk of regurgitation and aspiration.
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 19.00 Year(s) 至 80.00 Year(s)（—）
- 性别
- All
入选标准
- •1.Patients posted for elective surgeries.
- •2.American Society of Anaesthesiolgists physical status(ASA-PS)I-III patients.
排除标准
- •1.Patients posted for elective surgeries.
- •2.Hypothyroidism.
- •3.Gastrointestinal obstructive diseases, previous gastrointestinal surgeries.
- •4.Chronic kidney disease 5.Body mass index more than 30 kg per meter square.
结局指标
主要结局
To compare the mean antral cross-sectional area of stomach after 8 hour of fasting in non-diabetic and diabetic patients undergoing elective surgery.
时间窗: After confirming nil per oral status in pre operative room.
次要结局
- To assess the mean gastric volume per kilogram weight after 8 hour of fasting between the two study groups.(After confirming nil per oral status of 8 hour.)
研究者
DR K VISHNU PRIYA
DR B R AMBEDKAR MEDICAL COLLEGE AND HOSPITAL