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Saudi J Anaesth. 2018 Apr-Jun;12(2):318-320. doi: 10.4103/sja.SJA_452_17.

Bedside ultrasound assessment of gastric content in children noncompliant with preoperative fasting guidelines: Is it time to include this in our practice?.

Saudi journal of anaesthesia

Uma R Parekh, Niraja Rajan, Robyn C Iglehart, Patrick M McQuillan

Affiliations

  1. Department of Anesthesiology and Perioperative Medicine, Penn State Milton S Hershey Medical Center, Penn State Milton S Hershey Children's Hospital, Hershey, PA 17033, USA.

PMID: 29628847 PMCID: PMC5875225 DOI: 10.4103/sja.SJA_452_17

Abstract

Ultrasound assessment of gastric contents and volume is gaining popularity in adults and children. At present, a preoperative verbal check is used to determine the fasting status. Due to fear of delay or cancellation of surgery, parents may not disclose noncompliance with fasting guidelines. Pulmonary aspiration of gastric contents is a potential cause of morbidity and mortality. Ultrasound assessment of gastric contents is noninvasive and easy to learn. We present a series of three cases to demonstrate how the use of ultrasound to assess gastric contents in children can provide an objective means for decision-making and impact anesthetic management when preoperative fasting status is uncertain.

Keywords: Children; gastric contents; preoperative fasting; ultrasound assessment

Conflict of interest statement

There are no conflicts of interest.

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