Ultrasonographic gastric volume before unplanned surgery

被引：45

作者：

Dupont, G. ^{[1
]}

Gavory, J. ^{[1
]}

Lambert, P. ^{[1
]}

Tsekouras, N. ^{[1
]}

Barbe, N. ^{[1
]}

Presles, E. ^{[2
,3
]}

Bouvet, L. ^{[4
,5
]}

Molliex, S. ^{[1
,6
]}

机构：

[1] Ctr Hosp Univ St Etienne, Dept Anesthesie Reanimat, St Etienne, France

[2] INSERM, St Etienne, France

[3] CHU St Etienne, Hop Nord, Serv Unite Rech Clin Innovat & Pharmacol, St Etienne, France

[4] Femme Mere Enfant Hosp, Hosp Civils Lyon, Dept Anaesthesia & Intens Care, Bron, France

[5] VetAgro Sup, Agress Pulm & Circulatoires Sepsis, Marcy Letoile, France

[6] INSERM, Lyon, France

来源：

ANAESTHESIA | 2017年 / 72卷 / 09期

关键词：

gastric emptying; gastric ultrasound; gastric volume; non-elective surgery; ULTRASOUND ASSESSMENT; PULMONARY ASPIRATION; GENERAL-ANESTHESIA; SURGICAL-PATIENTS; OBESE; GASTROPARESIS; COMPLICATIONS;

D O I：

10.1111/anae.13963

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

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]) mm(2) and the mean (SD) estimated volume was 45.8 (34.0) ml. The area exceeded 410 mm(2) 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.

引用

页码：1112 / 1116

页数：5

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