Ultrasound assessment of gastric volume in the fasted pediatric patient undergoing upper gastrointestinal endoscopy: development of a predictive model using endoscopically suctioned volumes

Spencer, Adam O.; Walker, Andrew; Yeung, Alfred K.; Lardner, David; Yee, Kevin; Mulvey, Jamin M.; Perlas, Anahi

doi:10.1111/pan.12581

Cited by 108 publications

(239 citation statements)

References 21 publications

Supporting

Mentioning

214

Contrasting

Unclassified

Order By: Relevance

“…Although six of 50 cases (12 %) were excluded owing to crying, we are confident that our technique facilitates gastric ultrasonography in pediatric cases. The RLD scan position is reportedly better for estimation of gastric volume [9,10]. Even in the supine position, the correlation coefficient of our data was slightly lower than the data of the two abovementioned previous studies [9,10].…”

Section: Discussioncontrasting

confidence: 84%

“…However, this previous study did not include younger children, so it is likely that positioning during scanning was relatively easier. Spencer et al reported correlation coefficients of 0.63 in the supine position and 0.67 in the RLD position in pediatric patients with gastrointestinal complaints aged 0-18 years under general anesthesia; gastric volume was measured by endoscope [10]. Spencer et al included infant cases, but they performed scanning under general anesthesia; therefore, the methodology was impractical and unsuitable for use in clinical practice.…”

Section: Discussionmentioning

confidence: 98%

“…Gastric contents and volume have recently been evaluated using noninvasive portable gastric ultrasonography in adults [4][5][6][7][8], and in children [9,10]. The validity of gastric ultrasonography to estimate gastric content and volume in pediatric patients before anesthetic induction has not yet been established.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Validity of ultrasonographic measurement of gastric volume in fasted pediatric patients without sedation

2016

View full text Add to dashboard Cite

Recently, gastric ultrasonography has been used as a noninvasive portable tool for evaluating gastric content and volume in adults and children. Pediatric patients are not always cooperative, especially younger ones, and it may be difficult to keep them in the appropriate scanning position without sedation. Hence, we modified the scanning method and position, and evaluated the efficacy of this alternative scanning technique in pediatric cases. We evaluated the gastric contents of 44 pediatric patients aged 4-14 years who were about to undergo elective surgery. Solid food and fluids were prohibited 8 and 2 h before anesthesia, respectively. Before anesthetic induction, we used gastric ultrasonography to measure the antral cross-sectional area in the supine position (supine CSA), irrespective of peristaltic contractions. The gastric volume was then aspirated using a multi-orifice catheter under general anesthesia. Supine CSA measured via this gastric ultrasonography method was positively correlated with gastric volume (r = 0.56, p < 0.0001). We concluded that our alternative method of measuring antral CSA may be applicable for children minimal gastric contents.

show abstract

Section: Discussioncontrasting

confidence: 84%

Section: Discussionmentioning

confidence: 98%

See 1 more Smart Citation

Validity of ultrasonographic measurement of gastric volume in fasted pediatric patients without sedation

2016

View full text Add to dashboard Cite

show abstract

“…Gastric US may be useful not only in these high-risk patients but also in special patient populations where NPO status is difficult to confirm such as parturients, 11 the severely obese, 12 and pediatrics. 13 Given that regional anesthesia techniques often lend themselves to potential clinical scenarios where patients are at an increased risk of aspiration, such as emergent or urgent trauma patients with unknown NPO status, or patients with chronic pain on high-dose opioids, gastric US is particularly compelling. As regional anesthesiologists continue to expand upon their US toolbox, gastric US has the potential to improve patient management and care.…”

mentioning

confidence: 99%

Gastric Ultrasound for the Regional Anesthesiologist and Pain Specialist

Haskins

Kruisselbrink

Boublik

et al. 2018

Regional Anesthesia and Pain Medicine

Self Cite

View full text Add to dashboard Cite

This article in our series on point-of-care ultrasound (US) for the regional anesthesiologist and pain management specialist describes the emerging role of gastric ultrasonography. Although gastric US is a relatively new point-of-care US application in the perioperative setting, its relevance for the regional anesthesiologist and pain specialist is significant as our clinical practice often involves providing deep sedation without a secured airway. Given that pulmonary aspiration is a well-known cause of perioperative morbidity and mortality, the ability to evaluate for NPO (nil per os) status and risk stratify patients scheduled for anesthesia is a powerful skill set. Gastric US can provide valuable insight into the nature and volume of gastric content before performing a block with sedation or inducing anesthesia for an urgent or emergent procedure where NPO status is unknown. Patients with comorbidities that delay gastric emptying, such as diabetic gastroparesis, neuromuscular disorders, morbid obesity, and advanced hepatic or renal disease, may potentially benefit from additional assessment via gastric US before an elective procedure. Although gastric US should not replace strict adherence to current fasting guidelines or be used routinely in situations when clinical risk is clearly high or low, it can be a useful tool to guide clinical decision making when there is uncertainty about gastric contents.In this review, we will cover the relevant scanning technique and the desired views for gastric US. We provide a methodology for interpretation of findings and for guiding medical management for adult patients. We also summarize the current literature on specific patient populations including obstetrics, pediatrics, and severely obese subjects.

show abstract

“…22 , han desarrollado otro modelo de regresión en población pediátrica siguiendo una metodología similar, con bastante buena correlación Puede ser de gran utilidad cuando no se tiene clara la data del ayuno o en un paciente incapaz de dar información confiable. Por otra parte, se dan casos en que el ayuno no está cumplido a cabalidad pero al comprobar por US que el estomago está vacío, se podría proceder con la cirugía.…”

unclassified

Uso de ecografía en anestesia: Point of Care Ultrasound (POCUS)

Azócar¹

2017

Rev Chil Anest

View full text Add to dashboard Cite

Ultrasound assessment of gastric volume in the fasted pediatric patient undergoing upper gastrointestinal endoscopy: development of a predictive model using endoscopically suctioned volumes

Cited by 108 publications

References 21 publications

Validity of ultrasonographic measurement of gastric volume in fasted pediatric patients without sedation

Validity of ultrasonographic measurement of gastric volume in fasted pediatric patients without sedation

Gastric Ultrasound for the Regional Anesthesiologist and Pain Specialist

Uso de ecografía en anestesia: Point of Care Ultrasound (POCUS)

Contact Info

Product

Resources

About