Preoperative Presence of Gastric Content in Non-fasting Patients - an Ultrasound Study

University Hospital, Akershus72 enrolled

Overview

Using bedside ultrasound, the investigators will examine gastric content in non-fasting patients assigned to rapid sequence intubation (RSI). The procedure will be done immediately before intubation. The percentage of non-fasting patients who actually have gastric content will be determined. Identifying gastric content is critical because presence increases the risk of pulmonary aspiration during intubation.

Quantitative gastric content will be registered by measuring the cross section area of antrum using bedside ultrasound. The area and the patients age will be applied to estimate gastric volume.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Non-fasting Patients Rapid Sequence Intubation Anesthesia Intubation Complication

Interventions

Bedside ultrasoundOTHER

Checking for gastric content using bedside ultrasound

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * adults scheduled for surgery * Adults over 18 years old that are assigned to general anesthesia with rapid sequence intubation (RSI) Exclusion Criteria: * Body mass index over 40 * Pregnant women * Patients earlier underwent gastric surgery * Critically ill patients where spending time on ultrasound would cause a major disadvantage for the patients

Locations (1)

Akershus University Hospital

Lørenskog, Akershus, Norway

Outcomes

Primary Outcomes

High risk of aspiration

Detection of solids, or more than 1,5 mL/kg clear fluid in the gaster

Time frame: Immediately before intubation

Low risk of aspiration

Detection of empty stomach, or less than 1,5 mL/kg clear fluid in the gaster

Time frame: Immediately before intubation

Data from ClinicalTrials.gov

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