About this trial
The aim of this study is to evaluate the role of gastric ultrasound in elective surgical diabetic patients.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥ 18 years.
Both sexes.
Undergoing elective surgery.
Disqualifiers
American Society of Anesthesiology (ASA) physical status >III.
Body mass index (BMI) outside the range of 18.5-40 Kg/m2.
History of upper gastrointestinal disease or previous surgery on the esophagus, stomach, or upper abdomen.
Abnormalities of the upper gastrointestinal tract, such as gastric tumors and recent upper gastrointestinal bleeding (within the preceding 1 month).
Trial population
This case-control study will be carried out on 130 cases, aged ≥ 18 years, undergoing elective surgery at Tanta University Hospitals after approval from the institutional ethical committee.
Trial design
Case-control
Other
Treatments tested in this trial
Gastric ultrasound
DeviceA curved array, low-frequency (2-5 MHz) transducer providing a scan depth up to 30 cm will be used. Patients will be scanned in the supine position followed by right lateral decubitus (RLD) position. The sonographic appearance of the gastric antrum will be classified as Grade 0,1 or 2, signifying empty antrum, fluid detected in RLD position only and antral fluid in both supine and RLD positions, respectively, based on the appearance in both the positions. Cross-sectional area (CSA) will be calculated by using two perpendicular diameters-anteroposterior (AP) and craniocaudal (CC) and the formula for area of an ellipse:CSA = (AP × CC × π)/4
Treatment groups
Trial outcomes
Primary outcomes
Antral cross-sectional area (CSA)
Cross-sectional area (CSA) will be calculated by using two perpendicular diameters-anteroposterior (AP) and craniocaudal (CC) and the formula for area of an ellipse: CSA = (AP × CC × π)/4
Secondary outcomes
Gastric volume
The gastric volume will be calculated using the previously validated formula: GVe (gastric volume in ml) = 27.0 + \[14.6 × right - lateral CSA (cm2)\] - (1.28 × age)
Gastric volume/weight
Gastric volume/weight will be recorded.
Sponsors and contacts
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