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Utility of gastric ultrasound in evaluating nil per os status in a child

Although rare, the aspiration of gastric contents can lead to significant morbidity or even mortality in pediatric patients receiving anesthetic care. For elective cases, routine preoperative practices include the use of standard nil per os times to decrease the risk of aspiration. However, patients...

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Autores principales: Munlemvo, Dolly, Moharir, Alok, Yamaguchi, Yoshikazu, Khan, Sarah, Tobias, Joseph D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8016049/
https://www.ncbi.nlm.nih.gov/pubmed/33824643
http://dx.doi.org/10.4103/sja.SJA_702_20
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author Munlemvo, Dolly
Moharir, Alok
Yamaguchi, Yoshikazu
Khan, Sarah
Tobias, Joseph D.
author_facet Munlemvo, Dolly
Moharir, Alok
Yamaguchi, Yoshikazu
Khan, Sarah
Tobias, Joseph D.
author_sort Munlemvo, Dolly
collection PubMed
description Although rare, the aspiration of gastric contents can lead to significant morbidity or even mortality in pediatric patients receiving anesthetic care. For elective cases, routine preoperative practices include the use of standard nil per os times to decrease the risk of aspiration. However, patients may fail to adhere to provided NPO guidelines or other patient factors may impact the efficacy of standard NPO times. Gastric point-of-care ultrasound provides information on the volume and quality of gastric contents and may allow improved patient management strategies. We present a 4-year-old patient who presented for bilateral myringotomy with tympanostomy tube insertion, who was found to have evidence of a full stomach during preoperative gastric ultrasound examination. The use of preoperative gastric point-of-care ultrasound in evaluating stomach contents and confirming NPO times is reviewed and its application to perioperative practice discussed.
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spelling pubmed-80160492021-04-05 Utility of gastric ultrasound in evaluating nil per os status in a child Munlemvo, Dolly Moharir, Alok Yamaguchi, Yoshikazu Khan, Sarah Tobias, Joseph D. Saudi J Anaesth Case Report Although rare, the aspiration of gastric contents can lead to significant morbidity or even mortality in pediatric patients receiving anesthetic care. For elective cases, routine preoperative practices include the use of standard nil per os times to decrease the risk of aspiration. However, patients may fail to adhere to provided NPO guidelines or other patient factors may impact the efficacy of standard NPO times. Gastric point-of-care ultrasound provides information on the volume and quality of gastric contents and may allow improved patient management strategies. We present a 4-year-old patient who presented for bilateral myringotomy with tympanostomy tube insertion, who was found to have evidence of a full stomach during preoperative gastric ultrasound examination. The use of preoperative gastric point-of-care ultrasound in evaluating stomach contents and confirming NPO times is reviewed and its application to perioperative practice discussed. Wolters Kluwer - Medknow 2021 2021-01-05 /pmc/articles/PMC8016049/ /pubmed/33824643 http://dx.doi.org/10.4103/sja.SJA_702_20 Text en Copyright: © 2021 Saudi Journal of Anaesthesia http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Munlemvo, Dolly
Moharir, Alok
Yamaguchi, Yoshikazu
Khan, Sarah
Tobias, Joseph D.
Utility of gastric ultrasound in evaluating nil per os status in a child
title Utility of gastric ultrasound in evaluating nil per os status in a child
title_full Utility of gastric ultrasound in evaluating nil per os status in a child
title_fullStr Utility of gastric ultrasound in evaluating nil per os status in a child
title_full_unstemmed Utility of gastric ultrasound in evaluating nil per os status in a child
title_short Utility of gastric ultrasound in evaluating nil per os status in a child
title_sort utility of gastric ultrasound in evaluating nil per os status in a child
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8016049/
https://www.ncbi.nlm.nih.gov/pubmed/33824643
http://dx.doi.org/10.4103/sja.SJA_702_20
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