Respiratory Aspiration of Gastric Contents
Conditions
Keywords
Aspiration risk, GI Endoscopy, Fasting guidelines, Delayed gastric emptying
Brief summary
The purpose of this research study is to look at the effectiveness of current anesthesia guidelines regarding food and drink prior to surgery in patients who are likely to have food and drink remain in their stomach longer than might ordinarily be expected.
Detailed description
Examine the utility of ultrasound examination of the stomach in estimating aspiration risk in patient populations whose aspiration risk is currently poorly understood. Evaluate the applicability of current pre-surgical fasting guidelines in the same patient populations whose aspiration risk is poorly understood. Evaluate the residual gastric contents in patients presenting for upper GI endoscopy procedures who have adhered to pre-operative fasting guidelines. Evaluate the residual gastric contents in patients presenting for upper GI endoscopy procedures who have not adhered to pre-operative fasting guidelines. Only patients expected to have an oral-gastric tube placed during upper GI endoscopy procedure will be included. Both groups will be evaluated to learn if their residual gastric contents conform to currently-accepted standards for low aspiration risk.
Interventions
BEHAVIORALInterview questionnaire
Complete interview questionnaire regarding the composition and timing of their most recent food intake.
PROCEDUREGastric ultrasound exam
Gastric ultrasound exam prior to upper GI endoscopy procedure.
Sponsors
University of Florida
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 99 Years
Healthy volunteers
No
Inclusion criteria
* Presenting for upper GI endoscopy procedures or surgical repair of a trauma- related injury * Expected to have an oral-gastric tube placed as part of scheduled procedure * Willing to undergo an ultrasound exam * Patients ≥ 18 years of age
Exclusion criteria
* Unwilling to undergo an ultrasound exam * Oral-gastric tube placement is not indicated * Oral-gastric tube placement is contraindicated * Pregnant patients and patients from defined vulnerable populations (ex. pediatric patients, mentally handicapped patients, prisoners, etc.) * Surgical trauma patients who are not expected to have an OG tube placed during surgery * Patients with history of gastric bypass surgery * Patients that are gastrostomy tube dependent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in gastric content volume between the four groups assessed by ultrasound examination | Up to 12 hours | Evaluate the residual gastric contents in patients presenting for upper GI endoscopy procedures to learn if their residual gastric contents conform to currently-accepted standards for low aspiration risk. |
Countries
United States
Outcome results
None listed