Aspiration of gastric content is a rare but serious complication of anesthesia. In this context, preoperative fasting for elective surgery is well defined. In an emergency situation, international guidelines recommend rapid sequence of anesthesia to reduce the risk of aspiration. In semi emergency situation, there is no consensus about the anesthetic procedure even if a preoperative fasting has been observed due to uncertainty of gastric emptying related to stress or painful condition. The choice of anesthesia induction technique depends mainly on the anesthetist. Ultrasonography is a non invasive bedside tool that can provide reliable quantitative information about the volume of gastric content.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
300
an ultrasonography will be conducted before the anesthesic procedure to provide reliable quantitative information about the volume of gastric content.
Chu de Saint Etienne
Saint-Etienne, France
patients with full stomach
Full stomach is defined by an antral cross-section area (CSA) \> 410 mm2, measured by ultrasonography
Time frame: baseline
duration of preoperative fasting
Time frame: baseline
type of surgery disease
Time frame: baseline
preoperative pain
Visual Analog Scale
Time frame: baseline
feeling of hunger
Time frame: baseline
nausea and vomiting
number of patients with nausea and vomiting
Time frame: baseline
type of anesthetic procedure performed
rapid or standard anesthetic induction
Time frame: baseline
inhalation of gastric contents
number of patients with inhalation of gastric contents during intervention
Time frame: baseline
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