Abdominal Surgeries, Gastric Ultrasonography, Gastric Ultrasound, Gastro Intestinal Surgery, Nursing, Point-of-care-ultrasound
Conditions
Brief summary
Gastric ultrasound is a quick and non-invasive tool to evaluate gastric content. Emptying of gastric content can be affected after abdominal surgery leading to the inability of tolerating oral foods. Gastric content can be assessed by gastric ultrasound and nurses were recently trained to do so in healthy volunteers; however, feasibility of nurse-performed gastric ultrasound after major abdominal surgery is not investigated yet. This study aims to investigate the feasibility of nurse-performed gastric point-of-care ultrasound after major gastro-intestinal surgery.
Interventions
DIAGNOSTIC_TESTgastric ultrasonograppy
Patients will be scanned in both supine and right lateral decubitus position (RLD)s. If the antrum is visible, it will be judged if the antrum is empty in both positions or the antrum is empty in supine position and fluid apparent in RLD position suggesting a low fluid volume (\<1,5 ml/Kg). The third option is fluid apparent in both supine and RLD position, suggesting a higher fluid volume (\>1,5ml/Kg) and the last option is solid food in one or both positions.
Sponsors
Radboud University Medical Center
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adult patients (\>18 years) * Underwent gastrointestinal surgery: * partial liver resection, * colorectal resection, * HIPEC, * pancreatic procedures including Whipple procedures for pancreatic cancer or pancreatic disorders, * other gastro- intestinal abdominal procedures such as resections of sarcomas, correction of herniation. * Obtained written informed consent. * Admitted for at least 3 days.
Exclusion criteria
* patients with open abdominal wounds or with abdominal pain hindering adequate gastric ultrasound * patients with a Percutaneous Endoscopic Gastrostomy catheter
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility of gastric ultrasound in terms of practicality | through study completion, for 6 months | Practicality of gastric ultrasound will be measured by the length in minutes. |
| Feasibility of gastric ultrasound in terms of usability | through study completion, for 6 months | The Dutch-System Usability Scale will be used to assess usability |
| Feasibility of gastric ultrasound in terms of acceptability perceived by patients | through study completion, for 6 months | Acceptability will be measured by the patients' perspective towards undergoing gastric ultrasound during recovery after surgery. |
| Feasibility of gastric ultrasound in terms of demand | through study completion, for 6 months | Demand will be measured by indications for gastric ultrasound and the change for successful image acquisition. Indications involve a description of clinical signs that were present during the gastric ultrasound performance. Each attempt for gastric ultrasound will be counted, afterwards adequate images will be counted. Change for succesfull image acquisition wil be calculated by adequate images divided by numbers of attemps. Both values indicate the demand according to its definition |
| Feasibility of Gastric ultrasound in terms of nurses accuracy and nurses confidence | through study completion, an average of 6 months | The nurses accuracy and nurses' confidence to perform gastric ultrasound will be assessed. Accuracy will be measured by validating the ultrasound findings independently by expert sonographers and the nurses for their peers, determining inter-rater reliability. |
| Feasibility of gastric ultrasound in terms of acceptability perceived by nurses | through study completion, for 6 months | Acceptability will be measured by the nurses' perspective towards the acceptability of gastric ultrasound. This is measured with the Theoretical Framework of Acceptability-based (TFA) questionnaire which is modified to assess the acceptability of gastric ultrasound during recovery after surgery. |
Countries
Netherlands
Contacts
Primary ContactHarm H.J. van Noort, PhD
Outcome results
None listed