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. 2017 Sep;72(9):1112-1116.
doi: 10.1111/anae.13963. Epub 2017 Jul 11.

Ultrasonographic gastric volume before unplanned surgery

G Dupont  1 , J Gavory  1 , P Lambert  1 , N Tsekouras  1 , N Barbe  1 , E Presles  2   3 , L Bouvet  4   5 , S Molliex  1   6
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Free article

Ultrasonographic gastric volume before unplanned surgery

G Dupont et al. Anaesthesia. 2017 Sep.
Free article

Abstract

We aimed to measure gastric antral cross-sectional area with ultrasound and estimate the gastric volume of 300 patients before unplanned surgery, fasted for at least six hours. Measurements were successfully recorded in 263 semi-recumbent patients. The median (IQR [range]) area was 333 (241-472 [28-1803]) mm2 and the mean (SD) estimated volume was 45.8 (34.0) ml. The area exceeded 410 mm2 in 92/263 (35%) measurements. Body mass index and morphine administration were associated with larger gastric areas on multivariable linear regression analysis, with beta coefficient (95%CI) 0.02 (0.01-0.04), p = 0.01, 0.23 (0.01-0.46), p = 0.04, respectively. Fasting time was not associated with gastric area and therefore could not substitute for ultrasound measurements in this cohort.

Keywords: gastric emptying; gastric ultrasound; gastric volume; non-elective surgery.

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