Health TrialsbyHealthPanel

Point-of-care Gastric Ultrasound for Fracture Surgery

ConditionsPneumonia, AspirationGastric ContentFractures, Bone
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-90
SponsorHaseki Training and Research Hospital

About this trial

Although there are fasting guidelines offered by the American Society of Anesthesiology (ASA) for managing preoperative patient assessment, some patients may need to be more cautious about the risk of aspiration. Since ultrasound has been a part of perioperative anesthesiology practice, it is simple to assess gastric content preoperatively with bedside ultrasonography (USG). More research is necessary to define elective surgeries with a possible risk of aspiration. Therefore, we aimed to evaluate the adequacy of standard fasting protocols in post-traumatic fracture surgery by measuring and evaluating gastric volume and content with USG in the preoperative operating room.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

• American Society of Anesthesiologists (ASA) Physical Status classification I to III

Patients necessitating surgery after traumatic fracture

Disqualifiers

• Patients with a body mass index over 35

Diseases that may lead to gastroparesis (

Known gastroesophageal reflux disease

Known autonomic neuropathy

Trial population

Patients who have been admitted to fracture surgery within 3 days of the trauma

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • Gastric ultrasound

    Diagnostic test

    Preoperative gastric antrum examination to detect gastric content (empty, liquid, or solid) and measure gastric volume

Treatment groups

No treatment groups listed

Trial outcomes

Primary outcomes

1

gastric volume(ml)

gastric volume calculated with gastric volume (mL) = 27.0 + 14.6 x right-lat CSA - 1.28 x age and Antral cross-sectional area = anterior posterior diameter (D1) × cranio-caudal diameter (D2) × π/4 . Evaluation is done as over 1,5 ml /kg grade 2; if 1,5- 0,8 ml/kg, grade 1; ˂ 0,8 ml/kg, grade 0

Time frame
preoperative, only one measurement
2

gastric content

Grade 0, no gastric content within the antrum at both positions ( supine and right lateral decubitis(RLD)); Grade 1, gastric content is seen only at RLD position; Grade 2 gastric content was detected in both positions

Time frame
preoperative, only one examination

Secondary outcomes

1

nausea or vomiting

postoperative nausea or vomiting

Time frame
postoperative 24 hour
2

aspiration pneumonia

fever, cough, tachypnea, tachycardia within and if there is any of these has occured, aspiration pneumonia will be searched with further examination or imagination for certain diagnosis

Time frame
postoperative 48 hours

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Haseki Training and Research Hospital

Lead sponsor

Source ClinicalTrials.gov
Apply now