This study will enroll patients ages 18 and over who have a diagnosis of diabetes, are undergoing an elective surgery under general anesthesia and 1) are taking a GLP-1 receptor agonist medication, or 2) not taking a GLP-1 receptor agonist medication. The patients will have a gastric ultrasound prior to surgery to measure any retained gastric contents. The primary goal is to assess the effect of subcutaneous injectable GLP-1 agonists on preoperative gastric volume in fasted, diabetic surgical patients.
Study Type
OBSERVATIONAL
Enrollment
210
A gastric ultrasound will be completed on every patient and administered the same way in each arm. The patient will be placed in supine position. A curvilinear ultrasound probe will be placed on the sagittal plane below the xiphoid process. The probe will then slide along the costal margin to the right until the gastric antrum is identified. At this point, the ultrasound image will be obtained, and appropriate measurements will be taken. The patient will be placed in the right lateral decubitus position and the above procedure will be repeated.
Medical University of South Carolina
Charleston, South Carolina, United States
Gastric Volume in RLD Position
The gastric volume will be calculated using a validated formula.
Time frame: From time of enrollment until the start of surgery, assessed up to 4 weeks
Gastric antrum CSA in RLD position
Time frame: From time of enrollment until the start of surgery, assessed up to 4 weeks
Perlas antral grade
Time frame: From time of enrollment until the start of surgery, assessed up to 4 weeks
Incidence of aspiration
Time frame: From the time surgery begins until the end of scheduled surgery, assessed up to 24 hours
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.