Ultrasound Assessment of Preoperative Gastric Volume in Children
Ultrasound Assessment of Gastric Volume Following Preoperative Fasting Guideline in Pediatric Patients
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Seoul, Korea, Republic of, 110-744
- Seoul National University Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Pediatric patients scheduled for elective orthopedic, otolaryngologic, ophthalmologic, plastic, and urologic surgery under general anesthesia
Exclusion Criteria:
- History of surgery on the esophagus or stomach
- History of gastrointestinal disease
- Ambulatory surgery
- Considered inappropriate by the investigator
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Infant formula
Patients were given infant formula 6 hours prior to surgery.
Gastric volume was assessed before ingestion, 1 hour prior to the surgery, and before the induction of general anesthesia using ultrasound.
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Scheduled operation under general anesthesia
Ultrasound assessment of gastric volume is performed three times; before ingestion of infant formula or carbohydrate drink; 1 hour prior to the surgery; and before induction of general anesthesia.
|
|
Experimental: Carbohydrate drink
Patients were given carbohydrate drink 2 hours prior to surgery.
Gastric volume was assessed before ingestion, 1 hour prior to the surgery, and before the induction of general anesthesia using ultrasound.
|
Scheduled operation under general anesthesia
Ultrasound assessment of gastric volume is performed three times; before ingestion of infant formula or carbohydrate drink; 1 hour prior to the surgery; and before induction of general anesthesia.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Intra-group difference between gastric volume measured on second and third ultrasound assessment
Time Frame: Interval between second and third ultrasound assessment, an expected average of 1 hour
|
Interval between second and third ultrasound assessment, an expected average of 1 hour
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Inter-group difference in gastric volume at each time point
Time Frame: From 6 hours prior to surgery to the induction of general anesthesia, an expected average of 6 hours
|
From 6 hours prior to surgery to the induction of general anesthesia, an expected average of 6 hours
|
|
Perioperative incidence of nausea, vomiting, fever, and respiratory complications
Time Frame: From the induction of general anesthesia until postoperative 24 hours
|
From the induction of general anesthesia until postoperative 24 hours
|
|
Degree of patient's preoperative anxiety, scored from 0 to 10, with 0 being good and 10 being bad
Time Frame: From 8 hours prior to surgery to the induction of general anesthesia, an expected average of 8 hours
|
From 8 hours prior to surgery to the induction of general anesthesia, an expected average of 8 hours
|
|
Degree of patient's preoperative hunger, scored from 0 to 10, with 0 being good and 10 being bad
Time Frame: From 8 hours prior to surgery to the induction of general anesthesia, an expected average of 8 hours
|
From 8 hours prior to surgery to the induction of general anesthesia, an expected average of 8 hours
|
|
Degree of patient's preoperative nausea, scored from 0 to 10, with 0 being good and 10 being bad
Time Frame: From 8 hours prior to surgery to the induction of general anesthesia, an expected average of 8 hours
|
From 8 hours prior to surgery to the induction of general anesthesia, an expected average of 8 hours
|
|
Degree of patient's preoperative thirst, scored from 0 to 10, with 0 being good and 10 being bad
Time Frame: From 8 hours prior to surgery to the induction of general anesthesia, an expected average of 8 hours
|
From 8 hours prior to surgery to the induction of general anesthesia, an expected average of 8 hours
|
|
Degree of patient's preoperative weakness, scored from 0 to 10, with 0 being good and 10 being bad
Time Frame: From 8 hours prior to surgery to the induction of general anesthesia, an expected average of 8 hours
|
From 8 hours prior to surgery to the induction of general anesthesia, an expected average of 8 hours
|
|
Degree of patient's preoperative irritability, scored from 0 to 10, with 0 being good and 10 being bad
Time Frame: From 8 hours prior to surgery to the induction of general anesthesia, an expected average of 8 hours
|
From 8 hours prior to surgery to the induction of general anesthesia, an expected average of 8 hours
|
|
Degree of parent's satisfaction, scored from 0 to 10, with 0 being satisfied and 10 being unsatisfied
Time Frame: From 8 hours prior to surgery to the induction of general anesthesia, an expected average of 8 hours
|
From 8 hours prior to surgery to the induction of general anesthesia, an expected average of 8 hours
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Bouvet L, Mazoit JX, Chassard D, Allaouchiche B, Boselli E, Benhamou D. Clinical assessment of the ultrasonographic measurement of antral area for estimating preoperative gastric content and volume. Anesthesiology. 2011 May;114(5):1086-92. doi: 10.1097/ALN.0b013e31820dee48.
- Smith I, Kranke P, Murat I, Smith A, O'Sullivan G, Soreide E, Spies C, in't Veld B; European Society of Anaesthesiology. Perioperative fasting in adults and children: guidelines from the European Society of Anaesthesiology. Eur J Anaesthesiol. 2011 Aug;28(8):556-69. doi: 10.1097/EJA.0b013e3283495ba1.
- American Society of Anesthesiologists Committee. Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: application to healthy patients undergoing elective procedures: an updated report by the American Society of Anesthesiologists Committee on Standards and Practice Parameters. Anesthesiology. 2011 Mar;114(3):495-511. doi: 10.1097/ALN.0b013e3181fcbfd9. No abstract available.
- Perlas A, Chan VW, Lupu CM, Mitsakakis N, Hanbidge A. Ultrasound assessment of gastric content and volume. Anesthesiology. 2009 Jul;111(1):82-9. doi: 10.1097/ALN.0b013e3181a97250.
- Fukunaga C, Sugita M, Yamamoto T. Validity of ultrasonographic measurement of gastric volume in fasted pediatric patients without sedation. J Anesth. 2016 Oct;30(5):900-3. doi: 10.1007/s00540-016-2204-3. Epub 2016 Jun 22.
- Brady M, Kinn S, Ness V, O'Rourke K, Randhawa N, Stuart P. Preoperative fasting for preventing perioperative complications in children. Cochrane Database Syst Rev. 2009 Oct 7;(4):CD005285. doi: 10.1002/14651858.CD005285.pub2.
- Brunet-Wood K, Simons M, Evasiuk A, Mazurak V, Dicken B, Ridley D, Larsen B. Surgical fasting guidelines in children: Are we putting them into practice? J Pediatr Surg. 2016 Aug;51(8):1298-302. doi: 10.1016/j.jpedsurg.2016.04.006. Epub 2016 Apr 21.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 1612100815
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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