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Gastric ultrasound in determining the preoperative prandial state
DOI:
https://doi.org/10.22517/25395203.25060Keywords:
ultrasound, fasting guidelines, anesthesiaAbstract
Introduction: Gastric content aspiration represents the main cause of death related to anesthesia. Gastric ultrasound seems to be useful for studying gastric content, especially in situations where fasting conditions do not exist or are unknown.Objective: To describe the usefulness of ultrasound for the evaluation of gastric content.
Methods: A structured search was carried out with the descriptors: fasting; anesthesia; general anesthesia; ultrasounds, ultrasonography, stomach (MeSH), in the databases: Pubmed, Embase, SciELO and Cochrane Library.
Results: About 29 articles were found with relevant information for the development of this review.
Conclusions: Although gastric ultrasound appears to be a useful technique for the study of gastric content, the impact that this may have on the incidence of pneumonic aspiration is unknown, so more studies are needed to promote its routine use in clinical practice.
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References
1. Charlesworth M, Wiles M. Pre-operative gastric ultrasound - should we look inside Schrödinger's gut?. Anaesthesia. 2019;74(1):109-12. Doi: 10.1111/anae.14516.
2. Cook T, Woodall N, Frerk C, Fourth National Audit Project. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 1: anaesthesia. Br J Anaesth. 2011;106(5):617-31. Doi: 10.1093/bja/aer058.
3. Cook T. Strategies for the prevention of airway complications – a narrative review. Anaesthesia. 2018;73(1):93-111. Doi: 10.1111/anae.14123.
4. Habre W, Disma N, Virag K, Becke K, Hansen T, Jöhr M ,et al. Incidence of severe critical events in paediatric anaesthesia (APRICOT): a prospective multicentre observational study in 261 hospitals in Europe. Lancet Respir Med. 2017;5(5):412-425. Doi: 10.1016/S2213-2600(17)30116-9.
5. Robinson M, Davidson A. Aspiration under anaesthesia: risk assessment and decision-making. BJA Education 2014;14(4):171–5. Doi.org/10.1093/bjaceaccp/mkt053
6. Armstrong R, Mouton R. Definitions of anaesthetic technique and the implications for clinical research. Anaesthesia. 2018;73(8):935-40. Doi: 10.1111/anae.14200.
7. Gagey A, de Queiroz Siqueira M, Monard C, Combet S, Cogniat B, Desgranges F, et al. The effect of pre-operative gastric ultrasound examination on the choice of general anaesthetic induction technique for non-elective paediatric surgery. A prospective cohort study. Anaesthesia. 2018;73(3):304-312. Doi: 10.1111/anae.14179.
8. Smith I, Kranke P, Murat I, Smith A, O'Sullivan G, Søreide E, et al. Perioperative fasting in adults and children: guidelines from the European Society of Anaesthesiology. Eur J Anaesthesiol. 2011;28(8):556-69. Doi: 10.1097/EJA.0b013e3283495ba1.
9. 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: An Updated Report by the American Society of Anesthesiologists Task Force on Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration. Anesthesiology. 2017;126(3):376-93. Doi: 10.1097/ALN.0000000000001452.
10. Thomas M, Morrison C, Newton R, Schindler E. Consensus statement on clear fluids fasting for elective pediatric general anesthesia. Paediatr Anaesth. 2018;28(5):411-4. Doi: 10.1111/pan.13370.
11. Jacoby J, Smith G, Eberhardt M, Heller M. Bedside ultrasound to determine prandial status. Am J Emerg Med. 2003;21(3): 216–9. DOI: https://doi.org/10.1016/S0735-6757(02)42243-7.
12. Perlas A, Chan VWS, Lupu CM, Mitsakakis N, Hanbidge A. Ultrasound Assessment of Gastric Content and Volume. Anesthesiology [Internet]. julio de 2009;111(1):82–9.
13. Kruisselbrink R, Arzola C, Endersby R, Tse C, Chan V, Perlas A. Intra- and interrater reliability of ultrasound assessment of gastric volume. Anesthesiology 2014; 121: 46-51. doi: 10.1097/ALN.0000000000000193.
14. Spencer A, Walker A, Yeung A, Lardner D, Yee K, Mulvey J, et al. Ultrasound assessment of gastric volume in the fasted pediatric patient undergoing upper gastrointestinal endoscopy: development of a predictive model using endoscopically suctioned volumes. Paediatr Anaesth. 2015;25(3):301-8. Doi: 10.1111/pan.12581.
15. Perlas A, Mitsakakis N, Liu L, Cino M, Haldipur N, Davis L, et al. Validation of a mathematical model for ultrasound assessment of gastric volume by gastroscopic examination. Anesth Analg. 2013;116(2):357-63. Doi: 10.1213/ANE.0b013e318274fc19.
16. Bouvet L, Miquel A, Chassard D, Boselli E, Allaouchiche B, Benhamou D. Could a single standardized ultrasonographic measurement of antral area be of interest for assessing gastric contents? A preliminary report. Eur J Anaesthesiol. 2009;26(12):1015–9.
17. Kruisselbrink R, Gharapetian A, Chaparro LE, Ami N, Richler D, Chan VWS, et al. Diagnostic Accuracy of Point-of-Care Gastric Ultrasound. 2018;XXX(Xxx):1–7.
18. Mendes B, Almeida C, Vieira W, Fascio M, Carvalho L, Vane L, et al. Ultrasound dynamics of gastric content volumes after the ingestion of coconut water or a meat sandwich. A randomized controlled crossover study in healthy volunteers. Rev Bras Anestesiol. 2018;68(6):584-90. doi: 10.1016/j.bjan.2018.06.008.
19. Perlas A, Davis L, Khan M, Mitsakakis N, Chan VWS. Gastric sonography in the fasted surgical patient: A prospective descriptive study. Anesth Analg. 2011;113(1):93–7. Doi: 10.1213/ANE.0b013e31821b98c0.
20. Chen C, Liu L, Wang C, Choi S, Yuen V. A pilot study of ultrasound evaluation of gastric emptying in patients with end-stage renal failure: a comparison with healthy controls. Anaesthesia. 2017;72(6):714-8. doi: 10.1111/anae.13869.
21. Van de Putte P, Perlas A. Ultrasound assessment of gastric content and volume. Br J Anaesth. 2014;113(1):12-22. Doi: 10.1093/bja/aeu151.
22. Ohashi Y, Walker JC, Zhang F, Prindiville F, Hanrahan J, Mendelson R, et al. Preoperative gastric residual volumes in fasted patients measured by bedside ultrasound: a prospective observational study. Anaesth Intensive Care. 2018;46(6):608-13. DOI: 10.1177/0310057X1804600612.
23. Charlesworth M, Glossop A. Strategies for the prevention of postoperative pulmonary complications. Anaesthesia. 2018;73(8):923-7. Doi: 10.1111/anae.14288.
24. Tasbihgou S, Vogels M, Absalom A. Accidental awareness during general anaesthesia – a narrative review. Anaesthesia. 2018;73(1):112-22. Doi: 10.1111/anae.14124.
25. Alakkad H, Kruisselbrink R, Chin KJ, Niazi AU, Abbas S, Chan VW, et al. Point-of-care ultrasound defines gastric content and changes the anesthetic management of elective surgical patients who have not followed fasting instructions: a prospective case series. Can J Anaesth. 2015;62(11):1188-95. doi: 10.1007/s12630-015-0449-1.
26. Koenig SJ, Lakticova V, Mayo PH. Utility of ultrasonography for detection of gastric fluid during urgent endotracheal intubation. Intensive Care Med 2011; 37: 627-31. doi: 10.1007/s00134-010-2125-9.
27. de Putte P, Perlas A. The link between gastric volume and aspiration risk. In search of the Holy Grail?. Anaesthesia. 2018;73(3):274-9. Doi: 10.1111/anae.14164.
28. Bouvet L, Bellier N, Gagey-Riegel A, Desgranges F, Chassard D, Siqueira M. Ultrasound assessment of the prevalence of increased gastric contents and volume in elective pediatric patients: a prospective cohort study. Paediatr Anaesth. 2018;28(10):906-13. Doi: 10.1111/pan.13472.
29. El-Boghdadly K, Kruisselbrink R, Chan V, Perlas A. Images in Anesthesiology: Gastric Ultrasound. Anesthesiology. 2016;125(3):595. Doi: 10.1097/ALN.0000000000001043.
2. Cook T, Woodall N, Frerk C, Fourth National Audit Project. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 1: anaesthesia. Br J Anaesth. 2011;106(5):617-31. Doi: 10.1093/bja/aer058.
3. Cook T. Strategies for the prevention of airway complications – a narrative review. Anaesthesia. 2018;73(1):93-111. Doi: 10.1111/anae.14123.
4. Habre W, Disma N, Virag K, Becke K, Hansen T, Jöhr M ,et al. Incidence of severe critical events in paediatric anaesthesia (APRICOT): a prospective multicentre observational study in 261 hospitals in Europe. Lancet Respir Med. 2017;5(5):412-425. Doi: 10.1016/S2213-2600(17)30116-9.
5. Robinson M, Davidson A. Aspiration under anaesthesia: risk assessment and decision-making. BJA Education 2014;14(4):171–5. Doi.org/10.1093/bjaceaccp/mkt053
6. Armstrong R, Mouton R. Definitions of anaesthetic technique and the implications for clinical research. Anaesthesia. 2018;73(8):935-40. Doi: 10.1111/anae.14200.
7. Gagey A, de Queiroz Siqueira M, Monard C, Combet S, Cogniat B, Desgranges F, et al. The effect of pre-operative gastric ultrasound examination on the choice of general anaesthetic induction technique for non-elective paediatric surgery. A prospective cohort study. Anaesthesia. 2018;73(3):304-312. Doi: 10.1111/anae.14179.
8. Smith I, Kranke P, Murat I, Smith A, O'Sullivan G, Søreide E, et al. Perioperative fasting in adults and children: guidelines from the European Society of Anaesthesiology. Eur J Anaesthesiol. 2011;28(8):556-69. Doi: 10.1097/EJA.0b013e3283495ba1.
9. 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: An Updated Report by the American Society of Anesthesiologists Task Force on Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration. Anesthesiology. 2017;126(3):376-93. Doi: 10.1097/ALN.0000000000001452.
10. Thomas M, Morrison C, Newton R, Schindler E. Consensus statement on clear fluids fasting for elective pediatric general anesthesia. Paediatr Anaesth. 2018;28(5):411-4. Doi: 10.1111/pan.13370.
11. Jacoby J, Smith G, Eberhardt M, Heller M. Bedside ultrasound to determine prandial status. Am J Emerg Med. 2003;21(3): 216–9. DOI: https://doi.org/10.1016/S0735-6757(02)42243-7.
12. Perlas A, Chan VWS, Lupu CM, Mitsakakis N, Hanbidge A. Ultrasound Assessment of Gastric Content and Volume. Anesthesiology [Internet]. julio de 2009;111(1):82–9.
13. Kruisselbrink R, Arzola C, Endersby R, Tse C, Chan V, Perlas A. Intra- and interrater reliability of ultrasound assessment of gastric volume. Anesthesiology 2014; 121: 46-51. doi: 10.1097/ALN.0000000000000193.
14. Spencer A, Walker A, Yeung A, Lardner D, Yee K, Mulvey J, et al. Ultrasound assessment of gastric volume in the fasted pediatric patient undergoing upper gastrointestinal endoscopy: development of a predictive model using endoscopically suctioned volumes. Paediatr Anaesth. 2015;25(3):301-8. Doi: 10.1111/pan.12581.
15. Perlas A, Mitsakakis N, Liu L, Cino M, Haldipur N, Davis L, et al. Validation of a mathematical model for ultrasound assessment of gastric volume by gastroscopic examination. Anesth Analg. 2013;116(2):357-63. Doi: 10.1213/ANE.0b013e318274fc19.
16. Bouvet L, Miquel A, Chassard D, Boselli E, Allaouchiche B, Benhamou D. Could a single standardized ultrasonographic measurement of antral area be of interest for assessing gastric contents? A preliminary report. Eur J Anaesthesiol. 2009;26(12):1015–9.
17. Kruisselbrink R, Gharapetian A, Chaparro LE, Ami N, Richler D, Chan VWS, et al. Diagnostic Accuracy of Point-of-Care Gastric Ultrasound. 2018;XXX(Xxx):1–7.
18. Mendes B, Almeida C, Vieira W, Fascio M, Carvalho L, Vane L, et al. Ultrasound dynamics of gastric content volumes after the ingestion of coconut water or a meat sandwich. A randomized controlled crossover study in healthy volunteers. Rev Bras Anestesiol. 2018;68(6):584-90. doi: 10.1016/j.bjan.2018.06.008.
19. Perlas A, Davis L, Khan M, Mitsakakis N, Chan VWS. Gastric sonography in the fasted surgical patient: A prospective descriptive study. Anesth Analg. 2011;113(1):93–7. Doi: 10.1213/ANE.0b013e31821b98c0.
20. Chen C, Liu L, Wang C, Choi S, Yuen V. A pilot study of ultrasound evaluation of gastric emptying in patients with end-stage renal failure: a comparison with healthy controls. Anaesthesia. 2017;72(6):714-8. doi: 10.1111/anae.13869.
21. Van de Putte P, Perlas A. Ultrasound assessment of gastric content and volume. Br J Anaesth. 2014;113(1):12-22. Doi: 10.1093/bja/aeu151.
22. Ohashi Y, Walker JC, Zhang F, Prindiville F, Hanrahan J, Mendelson R, et al. Preoperative gastric residual volumes in fasted patients measured by bedside ultrasound: a prospective observational study. Anaesth Intensive Care. 2018;46(6):608-13. DOI: 10.1177/0310057X1804600612.
23. Charlesworth M, Glossop A. Strategies for the prevention of postoperative pulmonary complications. Anaesthesia. 2018;73(8):923-7. Doi: 10.1111/anae.14288.
24. Tasbihgou S, Vogels M, Absalom A. Accidental awareness during general anaesthesia – a narrative review. Anaesthesia. 2018;73(1):112-22. Doi: 10.1111/anae.14124.
25. Alakkad H, Kruisselbrink R, Chin KJ, Niazi AU, Abbas S, Chan VW, et al. Point-of-care ultrasound defines gastric content and changes the anesthetic management of elective surgical patients who have not followed fasting instructions: a prospective case series. Can J Anaesth. 2015;62(11):1188-95. doi: 10.1007/s12630-015-0449-1.
26. Koenig SJ, Lakticova V, Mayo PH. Utility of ultrasonography for detection of gastric fluid during urgent endotracheal intubation. Intensive Care Med 2011; 37: 627-31. doi: 10.1007/s00134-010-2125-9.
27. de Putte P, Perlas A. The link between gastric volume and aspiration risk. In search of the Holy Grail?. Anaesthesia. 2018;73(3):274-9. Doi: 10.1111/anae.14164.
28. Bouvet L, Bellier N, Gagey-Riegel A, Desgranges F, Chassard D, Siqueira M. Ultrasound assessment of the prevalence of increased gastric contents and volume in elective pediatric patients: a prospective cohort study. Paediatr Anaesth. 2018;28(10):906-13. Doi: 10.1111/pan.13472.
29. El-Boghdadly K, Kruisselbrink R, Chan V, Perlas A. Images in Anesthesiology: Gastric Ultrasound. Anesthesiology. 2016;125(3):595. Doi: 10.1097/ALN.0000000000001043.
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Published
2023-06-29
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How to Cite
Paz Echeverry, O. A., Narváez Ocampo, Álvaro J., Díaz Ordoñez, J. C., Garzón Portilla, M. C., Paz Echeverry, M. J., Muñoz Meza, H. J., & Guerrero Restrepo, A. E. (2023). Gastric ultrasound in determining the preoperative prandial state. Revista Médica De Risaralda, 29(1). https://doi.org/10.22517/25395203.25060
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