• Anaesthesia · Sep 2017

    Ultrasonographic gastric volume before unplanned surgery.

    • G Dupont, J Gavory, P Lambert, N Tsekouras, N Barbe, E Presles, L Bouvet, and S Molliex.
    • Département d'Anesthésie - Réanimation, Centre Hospitalier Universitaire de Saint-Étienne, Saint-Étienne, France.
    • Anaesthesia. 2017 Sep 1; 72 (9): 1112-1116.

    AbstractWe 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.© 2017 The Association of Anaesthetists of Great Britain and Ireland.

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