Open Access<p>Point-of-Care Gastric Ultrasound in a Pediatric Patient After Bowel Preparation: A Case Report</p>
Author(s) -
Yoshikazu Yamaguchi,
Steven P Zadora,
Colleen Flahive,
John Russo,
Gregory S Maves,
Alok Moharir,
Joseph D. Tobias
Publication year - 2020
Publication title -
clinical and experimental gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.113
H-Index - 30
ISSN - 1178-7023
DOI - 10.2147/ceg.s254793
Subject(s) - medicine , esophagogastroduodenoscopy , colonoscopy , sedation , anesthetic , peg ratio , anesthesia , barium enema , ultrasound , surgery , endoscopy , radiology , colorectal cancer , finance , cancer , economics
Polyethylene glycol electrolyte solutions (PEG, NuLYTELY ® ) are widely used to prepare the GI tract before colonoscopy or barium enema examinations. Although PEG appears as a clear liquid, the optimal interval for sedation or general anesthesia after the last administration of these solutions is unclear and controversial in the anesthetic literature. We present a 3-year-old patient with intermittent bloody stools who required anesthetic care for esophagogastroduodenoscopy (EGD) and colonoscopy. Given the controversial nil per os time with the use of PEG-containing solutions, point-of-care gastric ultrasound was performed to evaluate gastric contents and gastric volume before the induction of anesthesia.