Comparative ultrasound study of gastric emptying between an isotonic solution and a nutritional supplement

Bisinotto, Flora Margarida Barra; Silveira, Luciano Alves Matias da; Rossi, Tiago Caneu; Martins, Laura Bisinotto; Zago, Gustavo Palis; Mendonça, Mariana Andrade Lopes

doi:10.1016/j.bjane.2018.09.010

Cited by 4 publications

(6 citation statements)

References 47 publications

(60 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The body of evidence included 139 studies (adult surgical: 99 randomized controlled trials, [23][24][25][26][27][28][29][30][31][32][33][34][68][69][70][71][72][73][74][75][76][77][78][79][80][81][82][83][84][85][86]91, 7 nonrandomized trials, 65,66,87,152,158-160 3 prospective cohort studies, 90,161,162 2 retrospective cohort studies, 163,164 1 case-control study, 165 and 2 before-after studies 67,166 ; adult nonsurgical: 1 Practice Guidelines for Preoperative Fasting PRACTICE PARAMETER randomized controlled trial, 167 9 crossover, [168][169][170][171][172][173][174][175][176] and 2 nonrandomized trials 177,178 ; pediatric surgical: 9 randomized controlled trials, 100,113,179-185 1 ...…”

Section: Carbohydrate-containing Clear Liquidsmentioning

confidence: 99%

“…The body of evidence included 139 studies (adult surgical: 99 randomized controlled trials, 23–34,36–64,68–86,91,118–157 7 nonrandomized trials, 65,66,87,152,158–160 3 prospective cohort studies, 90,161,162 2 retrospective cohort studies, 163,164 1 case-control study, 165 and 2 before–after studies 67,166 ; adult nonsurgical: 1 randomized controlled trial, 167 9 crossover, 168–176 and 2 nonrandomized trials 177,178 ; pediatric surgical: 9 randomized controlled trials, 100,113,179–185 1 prospective cohort 186 ; and pediatric nonsurgical: 2 randomized controlled trial, 102,104 1 crossover, 35 and 1 prospective cohort 103 ) comparing carbohydrate-containing clear liquids (simple, complex) with water, placebo, or fasting. In the carbohydrate arms, liquids were allowed an average of 2.25 h before surgery (80% until 2 h).…”

Section: Appendix: Study and Patient Characteristicsmentioning

confidence: 99%

See 1 more Smart Citation

2023 American Society of Anesthesiologists Practice Guidelines for Preoperative Fasting: Carbohydrate-containing Clear Liquids with or without Protein, Chewing Gum, and Pediatric Fasting Duration—A Modular Update of the 2017 American Society of Anesthesiologists Practice Guidelines for Preoperative Fasting

Joshi¹,

Abdelmalak²,

Weigel³

et al. 2023

Anesthesiology

View full text Add to dashboard Cite

These practice guidelines are a modular update of the “Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: Application to healthy patients undergoing elective procedures.” The guidance focuses on topics not addressed in the previous guideline: ingestion of carbohydrate-containing clear liquids with or without protein, chewing gum, and pediatric fasting duration.

show abstract

Section: Carbohydrate-containing Clear Liquidsmentioning

confidence: 99%

Section: Appendix: Study and Patient Characteristicsmentioning

confidence: 99%

2023 American Society of Anesthesiologists Practice Guidelines for Preoperative Fasting: Carbohydrate-containing Clear Liquids with or without Protein, Chewing Gum, and Pediatric Fasting Duration—A Modular Update of the 2017 American Society of Anesthesiologists Practice Guidelines for Preoperative Fasting

Joshi¹,

Abdelmalak²,

Weigel³

et al. 2023

Anesthesiology

View full text Add to dashboard Cite

show abstract

“…For all patients, we calculated the exact volume of the fluid, which is compatible with the risk of gastric aspiration. We assessed the relation of gastric volume to weight, and a value > 1.5 ml/kg was considered a risk factor for bronchoaspiration [ 16 ].…”

Section: Methodsmentioning

confidence: 99%

Effects of Preoperative Oral Carbohydrate on Cirrhotic Patients under Endoscopic Therapy with Anesthesia: A Randomized Controlled Trial

Wang

Liu

et al. 2021

BioMed Research International

View full text Add to dashboard Cite

Preoperative fasting causes significant perioperative discomfort in patients. Preoperative oral carbohydrate (POC) is an important element of the enhanced recovery after surgery protocol, but its effect on cirrhotic patients who tend to have abnormal gastric emptying remains unclarified. We investigated the influence of POC on gastric emptying and preprocedural well-being in cirrhotic patients. A prospective, randomized, controlled study of cirrhotic patients with gastroesophageal varices scheduled for elective therapeutic endoscopy under intravenous anesthesia was conducted. We enrolled 180 patients and divided them into three groups: those not supplemented with carbohydrates for 8 h before therapeutic endoscopy (control group) and those administered a carbohydrate beverage 2 h (2 h group) and 4 h (4 h group) before endoscopy. The residual gastric volume was quantified before anesthesia, gastric emptying was evaluated using gastric ultrasonography, and preprocedural well-being was assessed using the visual analogue scale (VAS). Preanesthesia gastric sonography scores were similar among the three groups. No patient had residual gastric volume > 1.5 ml / kg in the control and 4 h groups, but six patients (11%) had a residual gastric volume of >1.5 ml/kg in the 2 h group, hence were at a risk of regurgitation and aspiration. Moreover, VAS scores for six parameters (thirst, hunger, mouth dryness, nausea, vomiting, and fatigue) in the 2 h group and three parameters (thirst, hunger, and mouth dryness) in the 4 h group were significantly lower than those in the control group, suggesting a beneficial effect on cirrhotic patients’ well-being. Preoperative gastric peristaltic and operation scores, postoperative complications, length of hospital stay, and in-hospital expenses were not significantly different among the three groups. Our study indicated that avoiding preoperative fasting with oral carbohydrates administered 4 h before anesthesia can be achieved in cirrhotic patients. Further studies to assess whether POC can help improve postoperative outcomes in cirrhotic patients are needed.

show abstract

“…Twenty one studies describing gastric emptying times of various kinds of foods were identified. [ 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 ] Of these, 14 were RCTs and 7 were observational studies. These studies used various methods of gastric emptying estimation such as the 'gold standard' scintigraphy, MRI, GUS and carbon dioxide breath analysis.…”

Section: Adult Sectionmentioning

confidence: 99%

Perioperative fasting and feeding in adults, obstetric, paediatric and bariatric population: Practice Guidelines from the Indian Society of Anaesthesiologists

et al. 2020

View full text Add to dashboard Cite

Comparative ultrasound study of gastric emptying between an isotonic solution and a nutritional supplement

Cited by 4 publications

References 47 publications

Effects of Preoperative Oral Carbohydrate on Cirrhotic Patients under Endoscopic Therapy with Anesthesia: A Randomized Controlled Trial

Perioperative fasting and feeding in adults, obstetric, paediatric and bariatric population: Practice Guidelines from the Indian Society of Anaesthesiologists

Contact Info

Product

Resources

About