Voluntary Termination of Pregnancy
Conditions
Keywords
Voluntary Termination of Pregnancy, Preoperative gastric content
Brief summary
This is an observational, prospective, monocentric, diagnostic study aiming to evaluate the diagnostic properties of the presence of nausea-vomiting in predicting the existence of gastric contents in preoperative surgical abortion.
Detailed description
Most surgical abortions are performed under general anaesthesia. Inhalation of gastric contents is one of the main complications of general anesthesia, in terms of frequency and severity. Patients in the 1st trimester of pregnancy are frequently subject to nausea and vomiting, even on an empty stomach. The presence of nausea and vomiting prior to surgery means that the anesthetic protocol needs to be modified, as there is a greater risk of complications, particularly allergic ones. Preoperative gastric ultrasound is recognized for its ability to predict the risk of gastric inhalation during anesthesia. It is a non-irradiating, non-invasive, painless and rapid examination. There are no data on the association between gestational nausea and vomiting and the risk of inhalation in the context of preoperative fasting. There are no data on the gastric volume of patients in the 1st trimester of pregnancy with or without nausea. Does gestational nausea and vomiting represent an anesthetic risk of gastric inhalation?
Interventions
PROCEDUREData collection from gastric ultrasound
observational study
Sponsors
Centre Hospitalier Régional Metz-Thionville
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Inclusion criteria
* Adult patients * Patients undergoing Voluntary termination of pregnancy by dilatation and aspiration before 14 weeks of amenorrhea
Exclusion criteria
* Patient under guardianship or curatorship. * Patient with language barrier. * Any condition causing the patient to be considered as having a full stomach even before the gastric ultrasound: * body mass index (BMI) \> 40 kg/m2 * Hiatal hernia. * History of gastric or esophageal surgery or neoplasia. * Gastroparesis (diabetic, hepatocellular insufficiency, severe renal insufficiency, etc.). * Opposition of the patient to the re-use of her data for the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Prediction of gastric content by ultrasound | Day 0 | according to the presence of nausea or vomiting : Sensitivity, specificity, positive and negative predictive values |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Prevalence of presence of gastric content | Day 0 | Solid / liquid / none |
| nausea or vomiting | Day 0 | Presence of nausea or vomiting on the day of surgery, or use of anti-nausea medication during pregnancy |
| Anesthesia protocol | Day 0 | incidence of modification of anesthesia protocol consecutive of the realization of gastric ultrasound |
| Respiratory complications | At discharge from the recovery room up to one hour | any respiratory complications that may have occurred during the operation, right up to the time of discharge from the recovery room |
Countries
France
Outcome results
None listed