Kothapalli S, Anandaswamy TC, Patil S, Anne N, Muthalgiri CM, Niranjan A. Ultrasound evaluation of gastric residual volume in fasting end-stage renal failure patients.
J Clin Anesth 2024;
94:111414. [PMID:
38377764 DOI:
10.1016/j.jclinane.2024.111414]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2023] [Revised: 11/22/2023] [Accepted: 02/09/2024] [Indexed: 02/22/2024]
Abstract
STUDY OBJECTIVE
To evaluate the gastric contents and gastric residual volume in patient with end-stage renal failure by gastric ultrasound.
DESIGN
Prospective observational study.
SETTING
Tertiary care teaching hospital.
PATIENTS
Adults of either gender with BMI < 40 kg/m2 with end-stage renal failure scheduled to undergo arteriovenous graft or fistula.
INTERVENTIONS & MEASUREMENTS
The cross-sectional area of the gastric antrum was measured by gastric ultrasound with patient in both supine and right lateral decubitus positions. The volume of the gastric contents were calculated using suitable validated formula. In addition, the nature of the gastric contents was also determined by gastric ultrasound.
MAIN RESULTS
The incidence of delayed gastric emptying was found to be 57.7% in the population studied despite following the prescribed preoperative standard fasting guidelines.
CONCLUSIONS
There is a high incidence of delayed gastric emptying in patients with end-stage renal failure presenting for surgery which may predispose them to risk of pulmonary aspiration perioperatively.
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