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Routine point-of-care ultrasound (POCUS) assessment of gastric antral content in traumatic emergency surgical patients for prevention of aspiration pneumonitis: An observational clinical trial

BMC Anesthesiology May 13, 2021

Shorbagy MS, Kasem AA, Eldin AAG, et al. - This prospective observational study was conducted to allow routine employment of point-of-care ultrasound of gastric contents to evaluate aspiration risk as well as guide anesthetic management among trauma patients. This study involved 45 polytrauma patients receiving emergency surgery under general anesthesia. Before anesthesia induction in the emergency department, experts conducted gastric ultrasound for qualitative as well as quantitative evaluation of the gastric antrum in a supine position and right lateral decubitus position. Thereafter, routine placement of the nasogastric tube was done. Among participants, the risk evaluation of aspiration and the anesthesia technique changed in 14 (31.1%) following the gastric ultrasound examination. Findings demonstrate that assessment of the size as well as type of stomach contents was enabled by ultrasound examination of the stomach in polytrauma patients. The results of this study can impact the selection of anesthesia technique and decrease the risk of aspiration pneumonia.

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