Feasibility of Nurse-performed Gastric Ultrasound After Surgery
Feasibility of Nurse-performed Gastric Point-of-care Ultrasound to Determine Gastric Content After Gastro-intestinal and Oncologic Surgery: a Pilot Study
Radboud University Medical Center
135 participants
Apr 22, 2024
OBSERVATIONAL
Conditions
Summary
Gastric ultrasound is a quick and non-invasive tool to evaluate gastric content. Emptying of gastric content can be affected after abdominal surgery leading to the inability of tolerating oral foods. Gastric content can be assessed by gastric ultrasound and nurses were recently trained to do so in healthy volunteers; however, feasibility of nurse-performed gastric ultrasound after major abdominal surgery is not investigated yet. This study aims to investigate the feasibility of nurse-performed gastric point-of-care ultrasound after major gastro-intestinal surgery.
Eligibility
Inclusion Criteria9
- Adult patients (\>18 years)
- Underwent gastrointestinal surgery:
- partial liver resection,
- colorectal resection,
- HIPEC,
- pancreatic procedures including Whipple procedures for pancreatic cancer or pancreatic disorders,
- other gastro- intestinal abdominal procedures such as resections of sarcomas, correction of herniation.
- Obtained written informed consent.
- Admitted for at least 3 days.
Exclusion Criteria2
- patients with open abdominal wounds or with abdominal pain hindering adequate gastric ultrasound
- patients with a Percutaneous Endoscopic Gastrostomy catheter
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Interventions
Patients will be scanned in both supine and right lateral decubitus position (RLD)s. If the antrum is visible, it will be judged if the antrum is empty in both positions or the antrum is empty in supine position and fluid apparent in RLD position suggesting a low fluid volume (\<1,5 ml/Kg). The third option is fluid apparent in both supine and RLD position, suggesting a higher fluid volume (\>1,5ml/Kg) and the last option is solid food in one or both positions.
Locations(2)
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NCT06620549