Bedside ultrasound to determine prandial status

Jacoby, Jeanne L; Smith, Greg; Eberhardt, M.; Heller, Michael

doi:10.1016/s0735-6757(02)42243-7

Cited by 23 publications

(13 citation statements)

References 5 publications

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“…[1][2][3][4][5][6][11][12][13][14][15] The feasibility of GUS has not been systematically documented in the severely obese. Previous studies of bedside GUS in both the anesthesia and intensive care literature have focused on subjects with a normal to mildly obese body habitus (BMI 17-42.5 kg/m 2 ).…”

Section: Discussionmentioning

confidence: 99%

Gastric Sonography in the Severely Obese Surgical Patient

Putte¹,

Perlas²

2014

Anesthesia &Amp; Analgesia

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Section: Discussionmentioning

confidence: 99%

Gastric Sonography in the Severely Obese Surgical Patient

Putte¹,

Perlas²

2014

Anesthesia &Amp; Analgesia

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“…11). In fasting versus non-fasting subjects, US was specifically reliable in identifying a full stomach but only moderately reliable in identifying an empty stomach [46]. The cross-sectional area of the gastric antrum of healthy volunteers were found to correlate with ingested volumes of up to 300 ml fluid, especially when placed in the right lateral decubitus position[31].…”

Section: Resultsmentioning

confidence: 99%

Ultrasonography for clinical decision-making and intervention in airway management: from the mouth to the lungs and pleurae

et al. 2014

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ObjectivesTo create a state-of-the-art overview of the new and expanding role of ultrasonography in clinical decision-making, intervention and management of the upper and lower airways, that is clinically relevant, up-to-date and practically useful for clinicians.MethodsThis is a narrative review combined with a structured Medline literature search.ResultsUltrasonography can be utilised to predict airway difficulty during induction of anaesthesia, evaluate if the stomach is empty or possesses gastric content that poses an aspiration risk, localise the essential cricothyroid membrane prior to difficult airway management, perform nerve blocks for awake intubation, confirm tracheal or oesophageal intubation and facilitate localisation of tracheal rings for tracheostomy. Ultrasonography is an excellent diagnostic tool in intraoperative and emergency diagnosis of pneumothorax. It also enables diagnosis and treatment of interstitial syndrome, lung consolidation, atelectasis, pleural effusion and differentiates causes of acute breathlessness during pregnancy. Patient safety can be enhanced by performing procedures under ultrasound guidance, e.g. thoracocentesis, vascular line access and help guide timing of removal of chest tubes by quantification of residual pneumothorax size.ConclusionsUltrasonography used in conjunction with hands-on management of the upper and lower airways has multiple advantages. There is a rapidly growing body of evidence showing its benefits.Teaching Points• Ultrasonography is becoming essential in management of the upper and lower airways.• The tracheal structures can be identified by ultrasonography, even when unidentifiable by palpation.• Ultrasonography is the primary diagnostic approach in suspicion of intraoperative pneumothorax.• Point-of-care ultrasonography of the airways has a steep learning curve.• Lung ultrasonography allows treatment of interstitial syndrome, consolidation, atelectasis and effusion.

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“…12 Several authors have suggested that the gastric antrum is particularly amenable to sonographic examination since it has a reliable location and can be identified readily using standard internal anatomical landmarks. 4,[12][13][14] The purpose of this qualitative study was to provide a systematic description of the sonographic appearance of the gastric antrum in the ''empty'' (fasted) state, and following ingestion of clear fluids, milk, and a solid meal.…”

Section: Résumémentioning

confidence: 99%