An Evaluation of Isotonic “Sport Drinks” During Labor

Kubli, M; Scrutton, Mark; Seed, Paul; Sullivan, Geraldine O’

doi:10.1213/00000539-200202000-00033

Cited by 86 publications

(43 citation statements)

References 19 publications

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“…[10][11][12][13][14] In these studies, either a certified sonographer or a single anesthesiologist with no specified previous training performed all the examinations. [11][12][13][15][16][17] The process of knowledge translation demands further research to confirm generalizability of these findings. The amount of training required to achieve competence in the performance of gastric ultrasonography as a bedside clinical tool remains unknown.…”

Section: Résumémentioning

confidence: 95%

Anesthesiologists’ learning curves for bedside qualitative ultrasound assessment of gastric content: a cohort study

Arzola

Carvalho

Cubillos

et al. 2013

Can J Anesth/J Can Anesth

108

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Purpose Focused assessment of the gastric antrum by ultrasound is a feasible tool to evaluate the quality of the stomach content. We aimed to determine the amount of training an anesthesiologist would need to achieve competence in the bedside ultrasound technique for qualitative assessment of gastric content. Methods Six anesthesiologists underwent a teaching intervention followed by a formative assessment; then learning curves were constructed. Participants received didactic teaching (reading material, picture library, and lecture) and an interactive hands-on workshop on live models directed by an expert sonographer. The participants were instructed on how to perform a systematic qualitative assessment to diagnose one of three distinct categories of gastric content (empty, clear fluid, solid) in healthy volunteers. Individual learning curves were constructed using the cumulative sum method, and competence was defined as a 90% success rate in a series of ultrasound examinations. A predictive model was further developed based on the entire cohort performance to determine the number of cases required to achieve a 95% success rate. Results Each anesthesiologist performed 30 ultrasound examinations (a total of 180 assessments), and three of the six participants achieved competence. The average number of cases required to achieve 90% and 95% success rates was estimated to be 24 and 33, respectively. Conclusion With appropriate training and supervision, it is estimated that anesthesiologists will achieve a 95% success rate in bedside qualitative ultrasound assessment after performing approximately 33 examinations. RésuméObjectif L'évaluation ciblée de l'antre pylorique par échographie est un outil utile pour estimer la qualité du contenu de l'estomac. Notre objectif était de déterminer la quantité de formation nécessaire à un anesthésiologiste afin d'acquérir des compétences en échographie au chevet pour l'évaluation qualitative du contenu gastrique. Méthode Six anesthésiologistes ont suivi une formation, puis une évaluation formative; des courbes d'apprentissage ont ensuite été élaborées. Les participants ont reçu un enseignement didactique (matériel de lecture, bibliothèque d'images, et cours) et suivi un atelier pratique interactif sur

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Section: Résumémentioning

confidence: 95%

Anesthesiologists’ learning curves for bedside qualitative ultrasound assessment of gastric content: a cohort study

Arzola

Carvalho

Cubillos

et al. 2013

Can J Anesth/J Can Anesth

108

View full text Add to dashboard Cite

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“…Of these, we have included five studies involving 3130 women in this review (Kubli 2002;Scheepers 2002;Scrutton 1999;Tranmer 2005), excluded two studies (Scheepers 2004;Shennan 2005 ) and assigned four studies as awaiting classification; we have attempted to contact these authors (Goodall 1999;Laifer 2000;Yiannouzis 1994;Zhao 1996).…”

Section: Description Of Studiesmentioning

confidence: 99%

“…Two included studies looked at restricting women to drinking water only compared with giving women specific foods during labour and encouraging them to take some food and fluids in active labour Scrutton 1999). Two studies looked at giving women water only compared with carbohydrate drinks in labour (Kubli 2002;Scheepers 2002).…”

Section: Description Of Studiesmentioning

confidence: 99%

Restricting oral fluid and food intake during labour

Singata

Tranmer

2002

Cochrane Database of Systematic Reviews

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“…This patient position was chosen for its greater sensitivity to detect small amounts of fluid compared with supine examinations, as fluid and semi-fluid gastric content moves towards the more dependent antrum. 11,12,15,16 Additionally, in the right lateral position, air content is displaced away from the antrum towards the more proximal body and fundus. This optimizes scanning conditions by limiting sound attenuation due to intraluminal air.…”

Section: Methodsmentioning

confidence: 99%