Gastric Ultrasound for Preoperative Assessment of Gastric Content in Diabetic Patients

Bedside Gastric Ultrasound for Preoperative Assessment of Gastric Content in Diabetic Patients Following ASA Fasting Guidelines

Sponsors

Lead Sponsor: Second Affiliated Hospital, School of Medicine, Zhejiang University

Source Second Affiliated Hospital, School of Medicine, Zhejiang University
Brief Summary

ASA fasting guidelines are only applicable to healthy elective surgery patients. Measuring gastric volume now is not easy, and scintigraphy has remained the gold standard technique for many years. This prospective observational study aim to explore the gastric emptying of type 2 diabetic patients.

Detailed Description

ASA fasting guidelines are only applicable to healthy elective surgery patients. Measuring gastric volume now is not easy, and scintigraphy has remained the gold standard technique for many years. Ultrasound has progressively emerged as a useful substitute due to its reduced cost and ease of performance.

Using gastric ultrasound measure gastric antrum cross-sectional area to determine whether patients are empty stomach, help anesthesiologists in preoperative evaluation of diabetic patients with the risk of aspiration, so as to guide the anesthesiologist take effective interventions, this prospective observational study aim to explore the gastric emptying of type 2 diabetic patients.

Overall Status Completed
Start Date November 15, 2019
Completion Date February 2, 2020
Primary Completion Date January 20, 2020
Study Type Observational
Primary Outcome
Measure Time Frame
Gastric contents before anesthesia
Risk factors before anesthesia
Secondary Outcome
Measure Time Frame
Perlas grading scale before anesthesia
Enrollment 150
Condition
Intervention

Intervention Type: Device

Intervention Name: Ultrasound

Description: Use ultrasound to assess gastric contents in diabetic patients before anesthesia

Arm Group Label: Diabetic patients

Eligibility

Sampling Method: Non-Probability Sample

Criteria:

Inclusion Criteria:

1. Ages >18 years old

2. Diabetes (I or II)

3. Following American Society of Anesthesiologists (ASA) fasting guidelines before surgery

4. Undergoing general anesthesia

Exclusion Criteria:

1. Pregnant

2. Gastric Intestinal Tract (GIT) diseases or surgeries affect gastric emptying

3. Diagnosed with liver dysfunction or renal insufficiency

4. Patients who are unable to cooperate or understand the process

Gender: All

Minimum Age: 18 Years

Maximum Age: N/A

Healthy Volunteers: No

Overall Official
Last Name Role Affiliation
Min Yan, Doctor Study Chair The Second Affiliated Hospital of Zhejiang University Medical College
Location
Facility: The Second Affiliated Hospital of Zhejiang University Medical College
Location Countries

China

Verification Date

November 2019

Responsible Party

Type: Sponsor

Has Expanded Access No
Condition Browse
Arm Group

Label: Diabetic patients

Description: Diagnosed as diabetes

Patient Data No
Study Design Info

Observational Model: Other

Time Perspective: Prospective

Source: ClinicalTrials.gov