Use of ultrasound for gastric volume evaluation after ingestion of different volumes of isotonic solution
Autor(a) principal: | |
---|---|
Data de Publicação: | 2017 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1016/j.bjane.2017.03.001 http://hdl.handle.net/11449/159641 |
Resumo: | Background and objectives: The current preoperative fasting guidelines allow fluid intake up to 2 h before surgery. The aim of this study was to evaluate the gastric volume of volunteers after an overnight fast and compare it with the gastric volume 2 h after ingestion of 200 and 500 mL of isotonic solution, by means of ultrasound assessment. Method: Eighty volunteers underwent gastric ultrasound at three times: after 8 h of fasting; 2 h after ingestion of 200 mL isotonic saline, followed by the first scan; and on another day, 2 h after ingestion of 500 mL of the same solution after an overnight fast. The evaluation was quantitative (antrum area and gastric volume, and the ratio of participants' gastric volume/weight) and qualitative (absence or presence of gastric contents on right lateral decubitus and supine positions. A p-value < 0.05 was considered significant). Results: There was no difference in quantitative variables at measurement times (p > 0.05). Five volunteers (6.25%) had a volume/weight over 1.5 mL kg(-1) at fasting and 2 h after ingestion of 200 mL and 6 (7.5%) after 500 mL. Qualitatively, the presence of gastric fluid occurred in more volunteers after fluid ingestion, especially 500 mL (18.7%), although not statistically significant. Conclusion: Ultrasound assessment of gastric volume showed no significant difference, bothqualitative and quantitative, 2 h after ingestion of 200 mL or 500 mL of isotonic solution compared to fasting, although gastric fluid content has been identified in more volunteers, especiallyafter ingestion of 500 mL isotonic solution. (C) 2016 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. |
id |
UNSP_343d34a60a5fd9087eb8cae0b70f20aa |
---|---|
oai_identifier_str |
oai:repositorio.unesp.br:11449/159641 |
network_acronym_str |
UNSP |
network_name_str |
Repositório Institucional da UNESP |
repository_id_str |
2946 |
spelling |
Use of ultrasound for gastric volume evaluation after ingestion of different volumes of isotonic solutionBronchoaspirationGastric ultrasoundPreoperative fastingBackground and objectives: The current preoperative fasting guidelines allow fluid intake up to 2 h before surgery. The aim of this study was to evaluate the gastric volume of volunteers after an overnight fast and compare it with the gastric volume 2 h after ingestion of 200 and 500 mL of isotonic solution, by means of ultrasound assessment. Method: Eighty volunteers underwent gastric ultrasound at three times: after 8 h of fasting; 2 h after ingestion of 200 mL isotonic saline, followed by the first scan; and on another day, 2 h after ingestion of 500 mL of the same solution after an overnight fast. The evaluation was quantitative (antrum area and gastric volume, and the ratio of participants' gastric volume/weight) and qualitative (absence or presence of gastric contents on right lateral decubitus and supine positions. A p-value < 0.05 was considered significant). Results: There was no difference in quantitative variables at measurement times (p > 0.05). Five volunteers (6.25%) had a volume/weight over 1.5 mL kg(-1) at fasting and 2 h after ingestion of 200 mL and 6 (7.5%) after 500 mL. Qualitatively, the presence of gastric fluid occurred in more volunteers after fluid ingestion, especially 500 mL (18.7%), although not statistically significant. Conclusion: Ultrasound assessment of gastric volume showed no significant difference, bothqualitative and quantitative, 2 h after ingestion of 200 mL or 500 mL of isotonic solution compared to fasting, although gastric fluid content has been identified in more volunteers, especiallyafter ingestion of 500 mL isotonic solution. (C) 2016 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda.Soc Brasileira Anestesiol, Rio De Janeiro, RJ, BrazilUniv Fed Triangulo Mineiro, Hosp Clin, Uberaba, MG, BrazilUniv Estadual Paulista Julio de Mesquita Filho UN, Botucatu, SP, BrazilUniv Fed Triangulo Mineiro, Disciplina Anestesiol, Uberaba, MG, BrazilUniv Fed Triangulo Mineiro, Serv Radiol & Diagnost, Uberaba, MG, BrazilFundacao Amparo Pesquisa Estado Minas Gerais FAPE, Belo Horizonte, MG, BrazilUniv Fed Triangulo Mineiro, Programa Posgrad Ciencias Saude, Uberaba, MG, BrazilUniv Ribeirao Preto UNAERP, Curso Grad Med, Ribeirao Preto, SP, BrazilUniv Estadual Paulista Julio de Mesquita Filho UN, Botucatu, SP, BrazilElsevier B.V.Soc Brasileira AnestesiolUniv Fed Triangulo MineiroUniversidade Estadual Paulista (Unesp)Fundacao Amparo Pesquisa Estado Minas Gerais FAPEUniv Ribeirao Preto UNAERPBarra Bisinotto, Flora Margarida [UNESP]Naves, Aline de AraujoLima, Hellen Moreira deAbdu Peixoto, Ana CristinaMaia, Gisele CaetanoResende Junior, Paulo PachecoMartins, Laura BisinottoMatias da Silveira, Luciano A.2018-11-26T15:44:45Z2018-11-26T15:44:45Z2017-07-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article376-382application/pdfhttp://dx.doi.org/10.1016/j.bjane.2017.03.001Revista Brasileira De Anestesiologia. New York: Elsevier Science Inc, v. 67, n. 4, p. 376-382, 2017.0034-7094http://hdl.handle.net/11449/15964110.1016/j.bjane.2017.03.001WOS:000406359100008WOS000406359100008.pdfWeb of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengRevista Brasileira De Anestesiologia0,320info:eu-repo/semantics/openAccess2023-12-31T06:22:03Zoai:repositorio.unesp.br:11449/159641Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462023-12-31T06:22:03Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Use of ultrasound for gastric volume evaluation after ingestion of different volumes of isotonic solution |
title |
Use of ultrasound for gastric volume evaluation after ingestion of different volumes of isotonic solution |
spellingShingle |
Use of ultrasound for gastric volume evaluation after ingestion of different volumes of isotonic solution Barra Bisinotto, Flora Margarida [UNESP] Bronchoaspiration Gastric ultrasound Preoperative fasting |
title_short |
Use of ultrasound for gastric volume evaluation after ingestion of different volumes of isotonic solution |
title_full |
Use of ultrasound for gastric volume evaluation after ingestion of different volumes of isotonic solution |
title_fullStr |
Use of ultrasound for gastric volume evaluation after ingestion of different volumes of isotonic solution |
title_full_unstemmed |
Use of ultrasound for gastric volume evaluation after ingestion of different volumes of isotonic solution |
title_sort |
Use of ultrasound for gastric volume evaluation after ingestion of different volumes of isotonic solution |
author |
Barra Bisinotto, Flora Margarida [UNESP] |
author_facet |
Barra Bisinotto, Flora Margarida [UNESP] Naves, Aline de Araujo Lima, Hellen Moreira de Abdu Peixoto, Ana Cristina Maia, Gisele Caetano Resende Junior, Paulo Pacheco Martins, Laura Bisinotto Matias da Silveira, Luciano A. |
author_role |
author |
author2 |
Naves, Aline de Araujo Lima, Hellen Moreira de Abdu Peixoto, Ana Cristina Maia, Gisele Caetano Resende Junior, Paulo Pacheco Martins, Laura Bisinotto Matias da Silveira, Luciano A. |
author2_role |
author author author author author author author |
dc.contributor.none.fl_str_mv |
Soc Brasileira Anestesiol Univ Fed Triangulo Mineiro Universidade Estadual Paulista (Unesp) Fundacao Amparo Pesquisa Estado Minas Gerais FAPE Univ Ribeirao Preto UNAERP |
dc.contributor.author.fl_str_mv |
Barra Bisinotto, Flora Margarida [UNESP] Naves, Aline de Araujo Lima, Hellen Moreira de Abdu Peixoto, Ana Cristina Maia, Gisele Caetano Resende Junior, Paulo Pacheco Martins, Laura Bisinotto Matias da Silveira, Luciano A. |
dc.subject.por.fl_str_mv |
Bronchoaspiration Gastric ultrasound Preoperative fasting |
topic |
Bronchoaspiration Gastric ultrasound Preoperative fasting |
description |
Background and objectives: The current preoperative fasting guidelines allow fluid intake up to 2 h before surgery. The aim of this study was to evaluate the gastric volume of volunteers after an overnight fast and compare it with the gastric volume 2 h after ingestion of 200 and 500 mL of isotonic solution, by means of ultrasound assessment. Method: Eighty volunteers underwent gastric ultrasound at three times: after 8 h of fasting; 2 h after ingestion of 200 mL isotonic saline, followed by the first scan; and on another day, 2 h after ingestion of 500 mL of the same solution after an overnight fast. The evaluation was quantitative (antrum area and gastric volume, and the ratio of participants' gastric volume/weight) and qualitative (absence or presence of gastric contents on right lateral decubitus and supine positions. A p-value < 0.05 was considered significant). Results: There was no difference in quantitative variables at measurement times (p > 0.05). Five volunteers (6.25%) had a volume/weight over 1.5 mL kg(-1) at fasting and 2 h after ingestion of 200 mL and 6 (7.5%) after 500 mL. Qualitatively, the presence of gastric fluid occurred in more volunteers after fluid ingestion, especially 500 mL (18.7%), although not statistically significant. Conclusion: Ultrasound assessment of gastric volume showed no significant difference, bothqualitative and quantitative, 2 h after ingestion of 200 mL or 500 mL of isotonic solution compared to fasting, although gastric fluid content has been identified in more volunteers, especiallyafter ingestion of 500 mL isotonic solution. (C) 2016 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-07-01 2018-11-26T15:44:45Z 2018-11-26T15:44:45Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1016/j.bjane.2017.03.001 Revista Brasileira De Anestesiologia. New York: Elsevier Science Inc, v. 67, n. 4, p. 376-382, 2017. 0034-7094 http://hdl.handle.net/11449/159641 10.1016/j.bjane.2017.03.001 WOS:000406359100008 WOS000406359100008.pdf |
url |
http://dx.doi.org/10.1016/j.bjane.2017.03.001 http://hdl.handle.net/11449/159641 |
identifier_str_mv |
Revista Brasileira De Anestesiologia. New York: Elsevier Science Inc, v. 67, n. 4, p. 376-382, 2017. 0034-7094 10.1016/j.bjane.2017.03.001 WOS:000406359100008 WOS000406359100008.pdf |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Revista Brasileira De Anestesiologia 0,320 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
376-382 application/pdf |
dc.publisher.none.fl_str_mv |
Elsevier B.V. |
publisher.none.fl_str_mv |
Elsevier B.V. |
dc.source.none.fl_str_mv |
Web of Science reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1799965472516472832 |