Point-of-care Gastric Ultrasound for Fracture Surgery
Perioperative Point-of-care Gastric Ultrasound for Surgical Fracture Repair: Effect of Stress on Gastric Emptying
Haseki Training and Research Hospital
80 participants
Feb 1, 2023
OBSERVATIONAL
Conditions
Summary
Although there are fasting guidelines offered by the American Society of Anesthesiology (ASA) for managing preoperative patient assessment, some patients may need to be more cautious about the risk of aspiration. Since ultrasound has been a part of perioperative anesthesiology practice, it is simple to assess gastric content preoperatively with bedside ultrasonography (USG). More research is necessary to define elective surgeries with a possible risk of aspiration. Therefore, we aimed to evaluate the adequacy of standard fasting protocols in post-traumatic fracture surgery by measuring and evaluating gastric volume and content with USG in the preoperative operating room.
Eligibility
Inclusion Criteria2
- • American Society of Anesthesiologists (ASA) Physical Status classification I to III
- Patients necessitating surgery after traumatic fracture
Exclusion Criteria13
- • Patients with a body mass index over 35
- Diseases that may lead to gastroparesis (
- Known gastroesophageal reflux disease
- Known autonomic neuropathy
- Known diabetes mellitus
- Known or operated esophageal abnormalities
- History of gastric surgery
- Acute gastric or peptic ulcus
- Pregnancy
- Preoperative narcotic analgesic usage
- Known connective tissue disorders like scleroderma or amyloidosis
- Known hiatal hernia
- Known gallbladder and choledochal stone
Interested in this trial?
Get notified about updates and connect with the research team.
Interventions
Preoperative gastric antrum examination to detect gastric content (empty, liquid, or solid) and measure gastric volume
Locations(1)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT05728242