Ultrasonographic assessment of metoclopramide effect on gastric volume in parturients females undergoing Caesarean section: a randomized double blind study

Hamed, Esam; Hamza, Wafaa S; Farghaly, Tarek; Hamed, Rasha

doi:10.23736/s0375-9393.22.16913-0

Cited by 5 publications

(2 citation statements)

References 19 publications

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“…The results highlighted that a history of motion sickness stands as an independent risk factor for PONV during caesarean section, with the incidence of PONV being 5.08 times higher in patients with this history than in those without [14]. Lee [10,19,20]. The results of this study also suggest that increased stomach volume is an independent risk factor for PONV in caesarean sections.…”

Section: Discussionmentioning

confidence: 50%

Predicting postoperative nausea and vomiting after cesarean section ： a nomogram model combined with gastric ultrasound

Liu,

Zhong,

Huang

et al. 2023

Preprint

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We aimed to explore the independent risk factors for postoperative nausea and vomiting (PONV) after caesarean section and to establish and validate a nomogram prediction model combined with gastric ultrasound. Clinical data from 116 patients were randomly divided into training (n = 87) and validation groups (n = 29). Univariate and multivariate logistic regression were used to analyse the risk factors for PONV after the caesarean section. Independent risk factors related to PONV were identified, and a nomogram model was established. Receiver operating characteristic (ROC), calibration, and decision curve analysis (DCA) were employed to assess the predictive efficacy, accuracy, and clinical practicability of the model and internally verified. Twenty-four patients experienced PONV in the training group. Motion sickness history, a systolic blood pressure fall > 20%, and gastric volume were identified as independent PONV risk factors, which were used to construct a nomogram model. The area under the ROC curve values for predicting the training and validation groups were 0.813 and 0.738, respectively. DCA confirmed the clinical practicability and application. The nomogram model provides an intuitive and visual tool for rapid PONV risk assessment before a caesarean section, facilitating accurate, individualised perioperative management strategies and promoting rapid recovery.

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Section: Discussionmentioning

confidence: 50%

Predicting postoperative nausea and vomiting after cesarean section ： a nomogram model combined with gastric ultrasound

Liu,

Zhong,

Huang

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…Such technologies could bring new knowledge on real-time changes of gastric motility in reaction to medications (e.g., opioids or prokinetics) and enteral nutrition [32]. Gastric ultrasound is increasingly used to assess gastric emptying in anesthesia and intensive care [33][34][35]. Some development is also reported in point-of-care ultrasound assessment of certain intestinal pathologies and abdominal venous congestion [36,37].…”

Section: Key Pointsmentioning

confidence: 99%

Gastrointestinal function in critically ill patients

Blaser

Bachmann

Deane

2023

Current Opinion in Clinical Nutrition &Amp; Metabolic Care

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Purpose of review To summarize recent evidence regarding the diagnosis of acute gastrointestinal dysfunction and enteral feeding intolerance, and relationship of these to development of multiple organ dysfunction syndrome, during critical illness. Recent findings Novel gastric feeding tubes that attenuate gastroesophageal regurgitation or facilitate continuous monitoring of gastric motility have been developed. The definition of enteral feeding intolerance remains controversial, which may be resolved using a consensus process. A novel scoring system for gastrointestinal dysfunction (GIDS – GastroIntestinal Dysfunction Score) was recently developed but it is not yet validated or tested to evaluate the effect of any interventions. Studies of biomarkers to identify gastrointestinal dysfunction have yet to yield a suitable biomarker for daily clinical use. Summary The assessment of gastrointestinal function in critically ill patients continues to rely on complex daily clinical assessment. Scoring systems, consensus definitions and novel technology appear the most promising tools and interventions to improve patient care.

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Perioperative Considerations for Patients on GLP1 Agonists

VanderWielen,

Brian Beam

2024

Advances in Anesthesia

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Ultrasonographic assessment of metoclopramide effect on gastric volume in parturients females undergoing Caesarean section: a randomized double blind study

Cited by 5 publications

References 19 publications

Predicting postoperative nausea and vomiting after cesarean section ： a nomogram model combined with gastric ultrasound

Predicting postoperative nausea and vomiting after cesarean section ： a nomogram model combined with gastric ultrasound

Gastrointestinal function in critically ill patients

Perioperative Considerations for Patients on GLP1 Agonists

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