Diabetic patients with elective surgery Prevalence, Diabetes mellitus, High risk pulmonary aspiration, Gastric ultrasound assessment
Conditions
Interventions
Hight risk patients with full stomach by gastric content more than 1.5 ml/kg by gastric ultrasound
Other
Sponsors
Faculty of Medicine, Srinakharinwirot University
Eligibility
Sex/Gender
All
Age
18 Years to 85 Years
Inclusion criteria
Inclusion criteria: patients aged 18 years or older, patients diagnosed with type 2 diabetes for at least 3 months, and patients undergoing non-emergency surgery following fasting guidelines
Exclusion criteria
Exclusion criteria: patients who cannot adhere to fasting standards or undergo emergency surgery, patients with COVID-19 or positive PUI, patients with type 1 diabetes, patients with diabetes accompanied by high blood sugar conditions such as diabetic ketoacidosis and hyperosmolar hyperglycemic syndrome, patients with abnormal gastrointestinal motility, patients with acute gastrointestinal bleeding, patients with intestinal obstruction, patients with gastric ulcers, patients with liver abscess, patients with small and large intestinal tumors, or patients with a history of gastrointestinal surgery, except for liver cirrhosis, choledochal cysts, gastroesophageal reflux disease, peptic ulcers, and small intestine ulcers. Patients undergoing peritoneal dialysis (CAPD) and patients with other conditions specified in the data collection form that may cause bowel ileus, such as hypokalemia, hyponatremia, hypomagnesemia, and sepsis, are also excluded. Pregnant patients, patients with nasogastric or orogastric tubes, patients who have taken medications affecting gastric function and acid levels, such as prokinetic drugs, H2-blockers, tricyclic antidepressants, and glucagon-like peptide (GLP)-1 agonists within 2 hours before anesthesia induction, patients with mental health problems, or patients who are unable to provide information regarding fasting
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| full stomach after end anesthesia 24 hr gastric content by ultrasouind | — |
Secondary
| Measure | Time frame |
|---|---|
| The factors associated with a high risk of aspiration of gastric content into the lungs after end anesthesia 24 hr gastric content by ultrasouind | — |
Countries
Thailand
Contacts
Public ContactWanida Chongarunngamsang
Faculty of Medicine, Srinakharinwirot University
Outcome results
None listed