Author(s): Carmona, Bruno Mendes ; Almeida, Clauber Claudino Alves ; Vieira, Waldônio de Brito ; Fascio, Mario de Nazareth Chaves ; Carvalho, Lídia Raquel de [UNESP] ; Vane, Luiz Antonio [UNESP] ; Barbosa, Fabiano Timbó ; do Nascimento Junior, Paulo [UNESP] ; Módolo, Norma Sueli Pinheiro [UNESP]
Date: 2018
Persistent ID: http://hdl.handle.net/11449/180155
Origin: Oasisbr
Subject(s): Gastric content; Gastric dynamics; Preoperative fasting; Ultrasound
Made available in DSpace on 2018-12-11T17:38:24Z (GMT). No. of bitstreams: 0 Previous issue date: 2018-01-01
Background: Adequate preoperative fasting is critical in preventing pulmonary aspiration of gastric content. We proposed to study the sonographic gastric content dynamics after the ingestion of liquid or solid food in healthy volunteers and confront it with current guidelines for preoperative fasting times. Methods: We performed a prospective, crossover, evaluator‐blinded study involving 17 healthy volunteers of both sexes. Each participant fasted for 10 h and was subjected to a baseline gastric ultrasound, intake of 400 mL of coconut water or a 145 g, 355 kcal meat sandwich, and sonographic gastric evaluations after 10 min and every hour until the stomach was completely empty. Results: At baseline, all subjects had an empty stomach. At 10 min, gastric content [mean + standard deviation (SD)] was 240.4 + 69.3 and 248.2 + 119.2 mL for liquid and solid foods, respectively (p > 0.05). Mean + SD gastric emptying times were 2.5 + 0.7 and 4.5 + 0.9 h for liquid and solid foods, respectively (p < 0.001). For the drink, the stomach was completely empty in 59% and 100% of the subjects after two and four hours, and for the sandwich, 65% and 100% of the subjects after four and seven hours, respectively. Conclusions: Sonographic gastric dynamics for coconut water and a meat sandwich resulted in complete gastric emptying times higher and lower, respectively, than those suggested by current guidelines for preoperative fasting.
Hospital Ophir Loyola Departamento de Anestesiologia
Fundação Santa Casa de Misericórdia do Pará Departamento de Radiologia e Imagem de Diagnóstico
Universidade Estadual Paulista (Unesp) Instituto de Biociência
Universidade Estadual Paulista (Unesp) Faculdade de Medicina
Hospital Geral Estadual Professor Osvaldo Brandão Vilela
Universidade Estadual Paulista (Unesp) Instituto de Biociência
Universidade Estadual Paulista (Unesp) Faculdade de Medicina
