Open AccessGastric Residual Volume Assessment by Gastric Ultrasound in Fasting Obese Patients: A Comparative Study
Author(s) -
Atef Mohammad Khalil,
Safaa Gaber Ragab,
Joseph Makram Botros,
Hazem Ali Abd-Aal,
Maged Labib Boules
Publication year - 2021
Publication title -
anesthesiology and pain medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.438
H-Index - 26
eISSN - 2228-7531
pISSN - 2228-7523
DOI - 10.5812/aapm.109732
Subject(s) - medicine , antrum , body mass index , residual volume , stomach , prospective cohort study , elective surgery , gastric emptying , weight loss , gastroenterology , surgery , obesity , lung volumes , lung
Background: Gastric ultrasound is an emerging tool for preoperative evaluation of gastric content and volume. Objectives: To assess gastric residual volume in normal-weight and obese patients scheduled for elective surgery. Methods: This prospective observational study was conducted on 100 patients assigned to two groups of 50 patients each. The obese group included patients with body mass index (BMI) of 30 - 40 and American Society of Anesthesiologists (ASA) grade II and those with BMI > 40 and ASA III without other comorbidities; the normal-weight group included patients with normal BMI and ASA I. Gastric volume was predicted in each group using sonographic measurement of antral cross-sectional area (CSA) in semi-sitting and right lateral positions (RLP); the two groups were compared to assess the risk of aspiration for each group preoperatively. Results: Despite intergroup differences in antral CSA, the sonographically predicted gastric volume was normal-weight), both groups showed a low predicted gastric residual volume < 1.5 mL/kg and were at low risk for aspiration, provided that fasting was initiated at least 8 hours before elective surgery.