High-risk residual gastric content in fasted patients undergoing gastrointestinal endoscopy: A prospective cohort study of prevalence and predictors

Anaesthesia and Intensive Care

Volumn 43, Issue 6, 2015, Pages 728-733

  Phillips, S ^a,b   Liang, S S ^b,c   Formaz Preston, A ^d   Stewart, P A ^a,b  

^a SYDNEY ADVENTIST HOSPITAL   (Australia)

^b UNIVERSITY OF WESTERN SYDNEY   (Australia)

^c BLACKTOWN HOSPITAL   (Australia)

^d North Shore Private Hospital   (Australia)

Author keywords

Aspiration pneumonia; Chemical pneumonitis; Gastric contents; Gastric emptying; Gastric pH; Gastric volume; Gastrointestinal endoscopy; Gastroscopy; General anaesthesia; Mendelson's syndrome; Pulmonary aspiration

Indexed keywords

HISTAMINE H2 RECEPTOR ANTAGONIST; PROTON PUMP INHIBITOR;

ADULT; AGE; ARTICLE; COHORT ANALYSIS; DEMOGRAPHY; DIET RESTRICTION; FEMALE; FLUID INTAKE; GASTRIC SUCTION; GASTROINTESTINAL ENDOSCOPY; HIGH RISK PATIENT; HUMAN; INCIDENCE; INTESTINE PREPARATION; MAJOR CLINICAL STUDY; MALE; OUTCOME ASSESSMENT; PREDICTION; PREVALENCE; PROSPECTIVE STUDY; SEX DIFFERENCE; STOMACH CONTENT; STOMACH CONTENT VOLUME; STOMACH EMPTYING; STOMACH PARAMETERS; STOMACH PH; AGED; MIDDLE AGED; RISK; STATISTICAL MODEL; STOMACH JUICE;

ADULT; AGED; COHORT STUDIES; ENDOSCOPY, GASTROINTESTINAL; FASTING; FEMALE; GASTRIC ACIDITY DETERMINATION; GASTROINTESTINAL CONTENTS; HUMANS; LOGISTIC MODELS; MALE; MIDDLE AGED; PREVALENCE; PROSPECTIVE STUDIES; RISK;

EID: 84948734031     PISSN: 0310057X     EISSN: 14480271     Source Type: Journal    
DOI: 10.1177/0310057x1504300610     Document Type: Article

References (28)

1. Clarke AC, Chiragakis L, Hillman LC, Kaye GL. Sedation for endoscopy: The safe use of propofol by general practitioner sedationists. Med J Aust 2002; 176: 158-161.
2. Cote GA, Hovis RM, Ansstas MA, Waldbaum L, Azar RR, Early DS et al. Incidence of sedation-related complications with propofol use during advanced endoscopic procedures. Clin Gastroenterol Hepatol 2010; 8: 137-142.
3. Cooper GS, Kou TD, Rex DK. Complications following colonoscopy with anesthesia assistance: A population-based analysis. JAMA Intern Med 2013; 173: 551-556.
4. Friedrich K, Scholl SG, Beck S, Gotthardt D, Stremmel W, Rex DK et al. Respiratory complications in outpatient endoscopy with endoscopist-directed sedation. J Gastrointestin Liver Dis 2014; 23: 255-259.
5. Agostoni M, Fanti L, Gemma M, Pasculli N, Beretta L, Testoni PA. Adverse events during monitored anesthesia care for GI endoscopy: An 8-year experience. Gastrointest Endosc 2011; 74: 266-275.
6. Beck-Schimmer B, Bonvini JM. Bronchoaspiration: Incidence, consequences and management. Eur J Anaesthesiol 2011; 28: 78-84.
7. Mendelson CL. The aspiration of stomach contents into the lungs during obstetric anesthesia. Am J Obstet Gynecol 1946; 52: 191-205.
8. Teabeaut JR. Aspiration of gastric contents; an experimental study. Am J Pathol 1952; 28: 51-67.
9. Roberts RB, Shirley MA. Reducing the risk of acid aspiration during cesarean section. Anesth Analg 1974; 53: 859-868.
10. Australian and New Zealand College of Anaesthetists Professional Standards 15: Recommendations for the perioperative care of patients selected for day care surgery. 2010. From http://www.anzca.edu.au/resources/professional-documents/documents/professional-standards/professional-standards-15.html/2013. Accessed 2015.
11. Smith I, Kranke P, Murat I, Smith A, O'Sullivan G, Soreide E et al. Perioperative fasting in adults and children: Guidelines from the European Society of Anaesthesiology. Eur J Anaesthesiol 2011; 28: 556-569.
12. Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: Application to healthy patients undergoing elective procedures: An updated report by the American Society of Anesthesiologists Committee on Standards and Practice Parameters.
13. Petring OU, Blake DW. Gastric emptying in adults: An overview related to anaesthesia. Anaesth Intensive Care 1993; 21: 774-781.
14. Vaughan RW, Bauer S, Wise L. Volume and pH of gastric juice in obese patients. Anesthesiology 1975; 43: 686-689.
15. Brady M, Kinn S, Stuart P. Preoperative fasting for adults to prevent perioperative complications. Cochrane Database Syst Rev 2003; CD004423.
16. Hutchinson A, Maltby JR, Reid CR. Gastric fluid volume and pH in elective inpatients. Part I: Coffee or orange juice versus overnight fast. Can J Anaesth 1988; 35: 12-15.
17. Phillips S, Hutchinson S, Davidson T. Preoperative drinking does not affect gastric contents. Br J Anaesth 1993; 70: 6-9.
18. Read MS, Vaughan RS. Allowing pre-operative patients to drink: Effects on patients' safety and comfort of unlimited oral water until 2 hours before anaesthesia. Acta Anaesthesiol Scand 1991; 35: 591-595.
19. Cook-Sather SD, Gallagher PR, Kruge LE, Beus JM, Ciampa BP, Welch KC et al. Overweight/obesity and gastric fluid characteristics in pediatric day surgery: Implications for fasting guidelines and pulmonary aspiration risk. Anesth Analg 2009; 109: 727-736.
20. Perlas A, Davis L, Khan M, Mitsakakis N, Chan VWS. Gastric sonography in the fasted surgical patient: A prospective descriptive study. Anesth Analg 2011; 113: 93-97.
21. Schmitz A, Kellenberger CJ, Liamlahi R, Studhalter M, Weiss M. Gastric emptying after overnight fasting and clear fluid intake: A prospective investigation using serial magnetic resonance imaging in healthy children. Br J Anaesth 2011; 107: 425-429.
22. Fujigaki T, Fukusaki M, Nakamura H, Shibata O, Sumikawa K. Quantitative evaluation of gastric contents using ultrasound. J Clin Anesth 1993; 5: 451-455.
23. Evans MA, Triggs EJ, Cheung M, Broe GA, Creasey H. Gastric emptying rate in the elderly: Implications for drug therapy. J Am Geriatr Soc 1981; 29: 201-205.
24. Raidoo DM, Rocke DA, Brock-Utne JG, Marszalek A, Engelbrecht HE. Critical volume for pulmonary acid aspiration: Reappraisal in a primate model. Br J Anaesth 1990; 65: 248-250.
25. Manchikanti L, Colliver JA, Marrero TC, Roush JR. Assessment of age-related acid aspiration risk factors in pediatric, adult, and geriatric patients. Anesth Analg 1985; 64: 11-17.
26. Clark K, Lam LT, Gibson S, Currow D. The effect of ranitidine versus proton pump inhibitors on gastric secretions: A meta-Analysis of randomised control trials. Anaesthesia 2009; 64: 652-657.
27. Bian RW, Lou QL, Gu LB, Kong AP, So WY, Ko GT et al. Delayed gastric emptying is related to cardiovascular autonomic neuropathy in Chinese patients with type 2 diabetes. Acta Gastroenterol Belg 2011; 74: 28-33.
28. Chang J, Rayner CK, Jones KL, Horowitz M. Diabetic gastroparesis-backwards and forwards. J Gastroenterol Hepatol 2011; 26 Suppl 1: 46-57.