Health Condition 1: I061- Rheumatic aortic insufficiency Health Condition 2: I060- Rheumatic aortic stenosis Health Condition 3: I051- Rheumatic mitral insufficiency Health Condition 4: I050- Rheumatic mitral stenosis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Adults aged more than 18 years scheduled for elective cardiac surgery (CABG/valve surgery) with fasting as per ASA guidelines with signed informed written consent.
Exclusion criteria
Exclusion criteria: Emergency surgery, Known gastrointestinal disorders (gastroparesis, obstruction), Previous upper GI surgery, Pregnancy, Patients on drugs affecting gastric motility like prokinetics and opioids preoperatively, Poor ultrasound imaging for assessment of GRV or EF
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare preoperative GRV between patients with preserved EF (more than equal to 40%) versus low EF (less than 40%).Timepoint: At baseline | — |
Secondary
| Measure | Time frame |
|---|---|
| To assess the correlation between EF & gastric residual volume (GRV)Timepoint: At baseline;To determine the incidence of high risk stomach (GRV more than 1.5 ml/kg)Timepoint: At baseline;USG grading for presence of empty stomach, clear fluid or solid contentTimepoint: At baseline;To evaluate factors influencing GRV (age, gender, diabetes, BMI, fasting duration or time since last meal)Timepoint: At baseline | — |
Countries
India
Contacts
All India Institute of Medical Sciences, Bhubaneswar