Gastric Ultrasound for Estimation of the Aspiration Risk in High Aspiration-risk Surgical Patient Populations
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 200
- 试验地点
- 1
- 主要终点
- Changes in gastric content volume between the four groups assessed by ultrasound examination
研究概览
简要总结
The purpose of this research study is to look at the effectiveness of current anesthesia guidelines regarding food and drink prior to surgery in patients who are likely to have food and drink remain in their stomach longer than might ordinarily be expected.
详细描述
Examine the utility of ultrasound examination of the stomach in estimating aspiration risk in patient populations whose aspiration risk is currently poorly understood. Evaluate the applicability of current pre-surgical fasting guidelines in the same patient populations whose aspiration risk is poorly understood.
Evaluate the residual gastric contents in patients presenting for upper GI endoscopy procedures who have adhered to pre-operative fasting guidelines. Evaluate the residual gastric contents in patients presenting for upper GI endoscopy procedures who have not adhered to pre-operative fasting guidelines. Only patients expected to have an oral-gastric tube placed during upper GI endoscopy procedure will be included. Both groups will be evaluated to learn if their residual gastric contents conform to currently-accepted standards for low aspiration risk.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 99 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Presenting for upper GI endoscopy procedures or surgical repair of a trauma- related injury
- •Expected to have an oral-gastric tube placed as part of scheduled procedure
- •Willing to undergo an ultrasound exam
- •Patients ≥ 18 years of age
排除标准
- •Unwilling to undergo an ultrasound exam
- •Oral-gastric tube placement is not indicated
- •Oral-gastric tube placement is contraindicated
- •Pregnant patients and patients from defined vulnerable populations (ex. pediatric patients, mentally handicapped patients, prisoners, etc.)
- •Surgical trauma patients who are not expected to have an OG tube placed during surgery
- •Patients with history of gastric bypass surgery
- •Patients that are gastrostomy tube dependent
结局指标
主要结局
Changes in gastric content volume between the four groups assessed by ultrasound examination
时间窗: Up to 12 hours
Evaluate the residual gastric contents in patients presenting for upper GI endoscopy procedures to learn if their residual gastric contents conform to currently-accepted standards for low aspiration risk.
次要结局
未报告次要终点