Preoperative gastric point-of-care ultrasound in nonelective surgical procedures in pediatric-aged patients

• DOI: 10.4103/sja.sja_379_23
• Publication Date: 2024-01-02T05:01:21Z
• Authors: Anuranjan Ghimire; Alok Moharir; Yoshikazu Yamaguchi; Nguyen K. Tram; Joseph D. Tobias
• Keywords: Gastric Content; Elective surgery

Background: Airway management for nonelective surgical procedures in the setting of trauma, pain, and opioid use can be complicated by potential aspiration due to delayed gastric emptying. Point-of-care ultrasound (POCUS) remains a useful tool evaluating content volume various clinical settings. The authors evaluated children scheduled urgent semi-urgent assess their risk. Methods: After obtaining consent, POCUS was performed preoperative holding area pediatric patients both elective surgery. Qualitative quantitative measurements antrum were taken, risk calculated. Additional data collected included patient demographics, type surgery, nil per os (NPO) status at time NPO injury, administration opioids. Results: study cohort 100 ranging age from 3 17 years old (mean 9.2 years). Out these patients, scanning successfully conducted 98 patients. Sixteen fifty-nine (27%) had received opioids pain control prior Among 34 who suffered an acute 7 (21%) been <8 hours injury. Ninety-nine out hundred least 6 ultrasound. Based on our findings, all appropriately either Grade 0 or 1 aspiration, indicating low aspiration. Conclusions: preliminary show that when presenting surgery are NPO, they may have This information help guide choice anesthetic induction technique, particularly concerns exist about safety rapid sequence induction. It allows more stable controlled anesthesia.