The use of ultrasound to assess aspiration risk (Gastric Ultrasound)

In the following video tutorial, anesthesiologist and critical care fellow, Dr. Jay Gorman, reviews the use of ultrasound to assess the stomach for aspiration risk.

References

Arzola C, Perlas A, Siddiqui NT, Downey K, Ye XY, Carvalho JCA. Gastric ultrasound in the third trimester of pregnancy: a randomised controlled trial to develop a predictive model of volume assessment. Anaesthesia. 2018 Mar;73(3):295-303. doi: 10.1111/anae.14131. Epub 2017 Dec 19. PMID: 29265187.

Bouvet L, Mazoit JX, Chassard D, Allaouchiche B, Boselli E, Benhamou D. Clinical assessment of the ultrasonographic measurement of antral area for estimating preoperative gastric content and volume. Anesthesiology. 2011 May;114(5):1086-92. doi: 10.1097/ALN.0b013e31820dee48. PMID: 21364462.

Holt S, McDicken WN, Anderson T, Stewart IC, Heading RC. Dynamic imaging of the stomach by real-time ultrasound–a method for the study of gastric motility. Gut. 1980 Jul;21(7):597-601. doi: 10.1136/gut.21.7.597. PMID: 7429323; PMCID: PMC1419899.

Kluger MT, Culwick MD, Moore MR, Merry AF. Aspiration during anaesthesia in the first 4000 incidents reported to webAIRS. Anaesth Intensive Care. 2019 Sep;47(5):442-451. doi: 10.1177/0310057X19854456. Epub 2019 Aug 22. PMID: 31438719.

Perlas A, Mitsakakis N, Liu L, Cino M, Haldipur N, Davis L, Cubillos J, Chan V. Validation of a mathematical model for ultrasound assessment of gastric volume by gastroscopic examination. Anesth Analg. 2013 Feb;116(2):357-63. doi: 10.1213/ANE.0b013e318274fc19. Epub 2013 Jan 9. PMID: 23302981.

Sherwin M, Katz D. Using gastric ultrasound to assess gastric content in the pregnant patient. BJA Educ. 2021 Nov;21(11):404-407. doi: 10.1016/j.bjae.2021.08.001. Epub 2021 Sep 23. PMID: 34707884; PMCID: PMC8520039.
 

Spencer AO, Walker AM, Yeung AK, Lardner DR, Yee K, Mulvey JM, Perlas A. Ultrasound assessment of gastric volume in the fasted pediatric patient undergoing upper gastrointestinal endoscopy: development of a predictive model using endoscopically suctioned volumes. Paediatr Anaesth. 2015 Mar;25(3):301-8. doi: 10.1111/pan.12581. Epub 2014 Dec 11. PMID: 25495405.

Warner MA, Meyerhoff KL, Warner ME, Posner KL, Stephens L, Domino KB. Pulmonary Aspiration of Gastric Contents: A Closed Claims Analysis. Anesthesiology. 2021 Aug 1;135(2):284-291. doi: 10.1097/ALN.0000000000003831. PMID: 34019629

Van de Putte P, Perlas A. Ultrasound assessment of gastric content and volume. Br J Anaesth. 2014 Jul;113(1):12-22. doi: 10.1093/bja/aeu151. Epub 2014 Jun 3. PMID: 24893784.

Gastric Ultrasound Resource Website: https://www.gastricultrasound.org/en/acquisition/ https://www.gastricultrasound.org/en/acquisition/

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