Anesthesia Intubation Complication, Non-fasting Patients, Rapid Sequence Intubation
Conditions
Keywords
Ultrasound, Gastric content, Non-fasting, Rapid Sequence Induction, Gastric volume
Brief summary
Using bedside ultrasound, the investigators will examine gastric content in non-fasting patients assigned to rapid sequence intubation (RSI). The procedure will be done immediately before intubation. The percentage of non-fasting patients who actually have gastric content will be determined. Identifying gastric content is critical because presence increases the risk of pulmonary aspiration during intubation.
Detailed description
Quantitative gastric content will be registered by measuring the cross section area of antrum using bedside ultrasound. The area and the patients age will be applied to estimate gastric volume.
Interventions
Checking for gastric content using bedside ultrasound
Sponsors
Study design
Eligibility
Inclusion criteria
* adults scheduled for surgery * Adults over 18 years old that are assigned to general anesthesia with rapid sequence intubation (RSI)
Exclusion criteria
* Body mass index over 40 * Pregnant women * Patients earlier underwent gastric surgery * Critically ill patients where spending time on ultrasound would cause a major disadvantage for the patients
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| High risk of aspiration | Immediately before intubation | Detection of solids, or more than 1,5 mL/kg clear fluid in the gaster |
| Low risk of aspiration | Immediately before intubation | Detection of empty stomach, or less than 1,5 mL/kg clear fluid in the gaster |
Countries
Norway