Scopus
🔓 Açık Erişim
Can Gastric Volume be Accurately Estimated by Ultrasound?
Turkish Journal of Anaesthesiology and Reanimation · Haziran 2022
Makale Bilgileri
DergiTurkish Journal of Anaesthesiology and Reanimation
Yayın TarihiHaziran 2022
Cilt / Sayfa50 · 194-200
Scopus ID2-s2.0-85136161713
Erişim🔓 Açık Erişim
Özet
Objective: Knowing the degree of gastric fullness is critical in determining the potential risk of pulmonary aspiration prior to urgent or elective intubation. This study aims to investigate the role of ultrasound in predicting the gastric volume accurately. Methods: 176 patients who underwent upper gastric endoscopy after 12-hour fasting were examined by gastric US. The patients were ran-domly divided into 6 groups according to the volume of ingested semifluid meal: (1) empty stomach (no volume), (2) 50 mL, (3) 100 mL, (4) 200 mL, (5) 300 mL, and (6) 400 mL. Antral cross-sectional area (CSA) was measured by US after each ingestion. Results: We found a strong linear correlation between antral CSA and gastric volume up to 200 mL. The diagnostic performance of ultrasound was found to be more powerful in the supine position than in the right lateral position. A new mathematical model was established to predict gastric volume. The threshold value for antral cross-sectional area at risk of pulmonary aspiration was determined as 3.1 cm2 by sonographic measurement. Conclusion: Ultrasonography could be preferred to gastric endoscopy or scintigraphy in terms of non-invasiveness and easiness, although it still merits further investigation.
Yazarlar (6)
1
Yücel Gültekin
2
Özgür Kılıç
3
Zerrin Özçelik
4
Şükrü Salih Toprak
5
Recep Bayram
6
Oguzhan Arun
ORCID: 0000-0001-6101-1481
Anahtar Kelimeler
Cross-sectional area
gastric volume
ultrasonography
Kurumlar
Konya Beyhekim State Hospital
Konya Turkey
Ondokuz Mayis University, Medical School
Samsun Turkey
Sancaktepe Şehit Prof. Dr. İlhan Varank Training and Research Hospital
Istanbul Turkey
Selçuk Tip Fakültesi
Konya Turkey
Usak University
Usak Turkey