assess the efficacy of metoclopramide in reducing the gastric contents and volume in pediatric trauma prepared for urgent surgical interventions.
Paediatric urgent trauma
Guardian' refusal.
Presence of head trauma.
Parallel
Metoclopramide (Maxolon)
DrugParticipants will receive 0.15 mg/kg of metoclopramide administered intravenously. The drug will be diluted in 2 ml of solution prior to administration.
Saline
Drugpatients will recive normal saline 0.9% 2ml intravenous
ultrasonographic assessment of the effect of metoclopramide on morphology of the gastric antrum
Ultrasonographic evaluation was performed to study the impact of metoclopramide on the morphology of the gastric antrum. The cross-sectional area (CSA) of the antrum was calculated using the Bolondi et al. method with the formula:Antral CSA = π (AP × CC) / 4
effect of metoclopramide on gastric grading was assessed using a three-point grading systems
The effect of metoclopramide on gastric grading was evaluated using a three-point grading system as follows: G-0: The antrum is flat and empty in both supine and right lateral positions (RLP). G-1: The antrum contains fluid in the right lateral position but is empty in the supine position. G-2: The antrum contains fluid in both supine and right lateral positions.
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