The link between gastric volume and aspiration risk. In search of the Holy Grail?

Anaesthesia

Volumn 73, Issue 3, 2018, Pages 274-279

  Van de Putte, P ^a,b   Perlas, A ^c  

^a AZ Monica   (Belgium)

^b RADBOUD UNIVERSITY MEDICAL CENTER   (Netherlands)

^c TORONTO WESTERN HOSPITAL   (Canada)

Author keywords

complications; gastric ultrasound; gastric volume; pulmonary aspiration

Indexed keywords

ANESTHETIC AGENT;

ACID ASPIRATION; ANESTHESIA; ASPIRATION PNEUMONIA; EDITORIAL; HUMAN; LOWER ESOPHAGUS SPHINCTER; NONHUMAN; PNEUMONIA; RISK FACTOR; STOMACH CONTENT; ULTRASOUND; UPPER RESPIRATORY TRACT; VOLUME; ANATOMY AND HISTOLOGY; DIAGNOSTIC IMAGING; ECHOGRAPHY; STOMACH;

HUMANS; PNEUMONIA, ASPIRATION; STOMACH; ULTRASONOGRAPHY;

EID: 85041961400     PISSN: 00032409     EISSN: 13652044     Source Type: Journal    
DOI: 10.1111/anae.14164     Document Type: Editorial

References (33)

1. Simpson JY. Remarks on the alleged case of death from the action of chloroform. Lancet 1848; 1: 175.
2. Engelhardt T, Webster NR. Pulmonary aspiration of gastric contents in anaesthesia. British Journal of Anaesthesia 1999; 83: 453–60.
3. American Society of Anaesthesiologists. 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. Anesthesiology 2011; 114: 495–511.
4. Cook TM, Woodall N, Frerk C. On behalf of the Royal College of Anaesthetists. Report and findings of the 4th National Audit Project of the Royal College of Anesthetists. 2011; ISBN 978-1-9000936-03-3.
5. 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 Anaesthesiologica Scandinavica 1991; 35: 591–5.
6. Phillips S, Hutchinson S, Davidson T. Preoperative drinking does not affect gastric contents. British Journal of Anaesthesia 1993; 70: 6–9.
7. Harter R, Kelly W, Kramer M, Perz C, Dzwonczyk R. A comparison of the volume and pH of gastric contents of obese and lean surgical patients. Anesthesia and Analgesia 1998; 86: 147–52.
8. Hausel J, Nygren J, Lagerkranser M, et al. A carbohydrate-rich drink reduces preoperative discomfort in elective surgery patients. Anesthesia and Analgesia 2001; 93: 1344–50.
9. Plourde G, Hardy JF. Aspiration pneumonia: assessing the risk or regurgitation in the cat. Canadian Journal of Anesthesia 1986; 33: 345–8.
10. Roberts RB, Shirley MA. Reducing the risk of acid aspiration during cesarean section. Anesthesia and Analgesia 1974; 53: 8.
11. Lobo D, Hendry PO, Rodrigues G, et al. Gastric emptying of 3 liquid oral preoperative metabolic preconditioning regimens measured by magnetic resonance imaging in healthy adult volunteers: a randomized double-blind, cross-over study. Clinical Nutrition 2009; 28: 636–41.
12. Schreiner MS. Gastric fluid volume: is it really a risk factor for pulmonary aspiration? Anesthesia and Analgesia 1998; 87: 754–6.
13. Lucas DN, Elton CD. Through a glass darkly – ultrasound imaging in obstetric anaesthesia. Anaesthesia 2016; 71: 617–22.
14. Dupont G, Gavory J, Lambert P, et al. Ultrasonographic gastric volume before unplanned surgery. Anaesthesia 2017; 72: 1112–6.
15. Gagey A-C, de Queiroz Siqueira M, Monard C, et al. The effect of pre-operative gastric ultrasound examination on the choice of general anaesthetic induction technique for non-elective paediatric surgery. A prospective cohort study. Anaesthesia 2018; 73: 304–12.
16. 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; 73: 295–303.
17. Perlas A, Davis L, Khan M, Mitsakakis N, Chan VW. Gastric sonography in the fasted surgical patient: a prospective descriptive study. Anesthesia and Analgesia 2011; 113: 93–7.
18. Perlas A, Mitsakakis N, Liu L, et al. Validation of a mathematical model for ultrasound assessment of gastric volume by gastroscopic examination. Anesthesia and Analgesia 2013; 116: 357–63.
19. Arzola C, Perlas A, Siddiqui NT, Carvalho JC. Bedside gastric ultrasonography in term pregnant women before elective cesarean delivery: a prospective cohort study. Anesthesia and Analgesia 2015; 121: 752–8.
20. Van de Putte P, Vernieuwe L, Jerjir A, Verschueren L, Tacken M, Perlas A. When fasted is not empty: a retrospective cohort study of gastric content in fasted surgical patients. British Journal of Anaesthesia 2017; 118: 363–71.
21. Bouvet L, Miquel A, Chassard D, Boselli E, Allaouiche B, Benhamou D. Could a single standardized ultrasound measurement of antral area be of interest for assessing gastric contents? A preliminary report. European Journal of Anesthesiology 2009; 26: 1015–9.
22. 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; 114: 1086–92.
23. Jay L, Zieleskiewicz L, Desgranges F-P, et al. AzuRea collaborative network: determination of a cut-off value of antral area measured in the supine position for the fast diagnosis of an empty stomach in the parturient: a prospective cohort study. European Journal of Anesthesiology 2017; 34: 150–7.
24. Zieleskiewicz L, Boghossian MC, Delmas AC, et al. AzuRea and CAR'Echo collaborative networks: ultrasonographic measurement of antral area for estimating gastric fluid volume in parturients. British Journal of Anaesthesia 2016; 117: 198–205.
25. Kinsella SM. Position, position, position – terminology during stomach ultrasound in pregnant women. Anaesthesia 2016; 71: 1264–7.
26. Van de Putte P, Perlas A. Ultrasound assessment of gastric content and volume. British Journal of Anaesthesia 2014; 113: 12–22.
27. Alakkad H, Kruisselbrink R, Chin KJ, et al. A Point-of-care ultrasound defines gastric content and changes the anesthetic management of elective surgical patients who have not followed fasting instructions: a prospective case series. Canadian Journal of Anesthesia 2015; 62: 1188–95.
28. Perlas A, Van de Putte P, Van Houwe P, Chan VW. I-AIM framework for point-of-care gastric ultrasound. British Journal of Anaesthesia 2016; 116: 7–11.
29. Perlas A, Chan VW, Lupu CM, Mitsakakis N, Hanbidge A. Ultrasound assessment of gastric content and volume. Anesthesiology 2009; 111: 82–9.
30. Cubillos J, Tse C, Chan VW, Perlas A. Bedside ultrasound assessment of gastric content: an observational study. Canadian Journal of Anesthesia 2012; 59: 416–23.
31. Van de Putte P, Van Hoonacker J, Perlas A. Gastric ultrasound to guide anesthetic management in elective surgical patients non-compliant with fasting instructions. A retrospective cohort study. Minerva Anestesiologica 2017; in press.
32. Benhamou D. Ultrasound assessment of gastric contents in the perioperative period: why is this not part of our daily practice? British Journal of Anaesthesia 2015; 114: 545–8.
33. Mahmood F, Matyal R, Skubas N, et al. Perioperative ultrasound training in anesthesiology: a call to action. Anesthesia and Analgesia 2016; 122: 1794–804.