Impact on gastric emptying measured by antral gastric ultrasound of erythromycin administration in stroke patients with indication for mechanical thrombectomy.

简要总结

主要结局

次要结局

• The frequency and proportion of patients randomized into the study after the first antral ultrasound for full stomach (with an ultrasonographic antral surface area > 340 mm2). The frequency and proportion of patients not randomized in the study (with an ultrasonographic antral surface < 340 mm2).
• The proportion of patients with a 30% reduction in antral surface area between the measurement taken at the start of the procedure and that taken at the end of the procedure.
• The frequency and proportion of patients with an ultrasound anal surface area < 340 mm2 at the end of the procedure.
• Frequency and proportion of patients for whom ultrasound information had an influence (particularly knowledge of a full stomach) on anesthetic management strategy, as reported by the investigator: change in anesthetic strategy (Yes/No), decision to use orotracheal intubation (Yes/No), decision to place a nasogastric tube (Yes/No).
• In patients who can benefit from an elevated head position after revascularization, digital measurements of the antral area and determination of the PERLAS score in strict dorsal recumbency followed by 45° proclivity.
• Calculation of gastric volume in mm3 from antral surface measured in lateral decubitus position
• The frequency and proportion of complications typically encountered during thrombectomy procedures: hypotension, desaturation, need to increase oxygen flow, difficult upper airway management, inhalation syndrome.
• During the hospital stay: use of oxygen therapy at H+4 (Yes/No), possible post-procedure transfer to intensive care (Yes/No), occurrence of serious and non-serious adverse events related to erythromycin administration (Yes/No).