Evaluation of ultrasound-measured gastric volume and content in type 2 diabetes mellitus patients undergoing elective surgery: a prospective observational study

Asiye Demirel; Mürüvvet Dayıoğlu; Ayşe Neslihan Balkaya; Anıl Onur; Füsun Gözen

Makale detayları

Evaluation of ultrasound-measured gastric volume and content in type 2 diabetes mellitus patients undergoing elective surgery: a prospective observational study

Yazarlar:

Asiye Demirel | Mürüvvet Dayıoğlu | Ayşe Neslihan Balkaya | Anıl Onur | Füsun Gözen

Yayıncı:

Prusa Medical Publishing

Ana Başlıklar:

Anaesthesiology

Dergi:

The European Research Journal Vol.9 Issue 5, pp.1083-1092

Belge Tipi:

Makale

Yayın Tarihi:

4/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001288125

pISSN:

2149-3189

Anahtar kelimeler:

Özet:

 Objectives: Delayed gastric emptying create a risk of pulmonary aspiration during anesthesia. We aim to assess the antral cross-sectional area CSA and gastric volume using ultrasound techniques and to investigate the relationship between these variables and both the duration and regulation of type 2 diabetes mellitus DM. Methods: Gastric volume was estimated by measuring the antral CSA in the supine and right lateral decubitus RLD positions in 80 patients. The antral content was qualitatively classified according to Perlas et al. grades 0, 1, and 2, and gastric volume was computed using a previously described formula. The presence of solid content or  1.5 mLkg fluid in the stomach was classified as indicative of a full stomach. Results: The mean duration of diabetes among the subjects was 9.4  3.7 years. The mean fasting duration was 10.2  2.1 hours for solids and 2.5  0.7 for liquids. Twelve of the 80 patients exhibited grade 2 stomach. Age  p  0.005, Body mass index  p  0.001, solid fasting duration  p  0.027, and supine and RLD CSA  p  0.001 for both were significantly associated with full stomach. A history of 8 years of diabetes  p  0.001 and peripheral neuropathy  p  0.005 was identified as a risk factor for a full stomach. Conclusions: Despite adherence to standard fasting protocols, 15 of the type 2 DM patients were identified with a full stomach condition. Preoperative ultrasound assessment of gastric contents in patients with type 2 DM, especially with long-standing diabetes  8 years and with peripheral neuropathy is recommended. The findings of this study necessitate additional investigation to support the conceptualization of specific guidelines for diabetes to mitigate the risk of pulmonary aspiration.

 Objectives: Delayed gastric emptying create a risk of pulmonary aspiration during anesthesia. We aim to assess the antral cross-sectional area CSA and gastric volume using ultrasound techniques and to investigate the relationship between these variables and both the duration and regulation of type 2 diabetes mellitus DM. Methods: Gastric volume was estimated by measuring the antral CSA in the supine and right lateral decubitus RLD positions in 80 patients. The antral content was qualitatively classified according to Perlas et al. grades 0, 1, and 2, and gastric volume was computed using a previously described formula. The presence of solid content or  1.5 mLkg fluid in the stomach was classified as indicative of a full stomach. Results: The mean duration of diabetes among the subjects was 9.4  3.7 years. The mean fasting duration was 10.2  2.1 hours for solids and 2.5  0.7 for liquids. Twelve of the 80 patients exhibited grade 2 stomach. Age  p  0.005, Body mass index  p  0.001, solid fasting duration  p  0.027, and supine and RLD CSA  p  0.001 for both were significantly associated with full stomach. A history of 8 years of diabetes  p  0.001 and peripheral neuropathy  p  0.005 was identified as a risk factor for a full stomach. Conclusions: Despite adherence to standard fasting protocols, 15 of the type 2 DM patients were identified with a full stomach condition. Preoperative ultrasound assessment of gastric contents in patients with type 2 DM, especially with long-standing diabetes  8 years and with peripheral neuropathy is recommended. The findings of this study necessitate additional investigation to support the conceptualization of specific guidelines for diabetes to mitigate the risk of pulmonary aspiration.

 Objectives: Delayed gastric emptying create a risk of pulmonary aspiration during anesthesia. We aim to assess the antral cross-sectional area CSA and gastric volume using ultrasound techniques and to investigate the relationship between these variables and both the duration and regulation of type 2 diabetes mellitus DM. Methods: Gastric volume was estimated by measuring the antral CSA in the supine and right lateral decubitus RLD positions in 80 patients. The antral content was qualitatively classified according to Perlas et al. grades 0, 1, and 2, and gastric volume was computed using a previously described formula. The presence of solid content or  1.5 mLkg fluid in the stomach was classified as indicative of a full stomach. Results: The mean duration of diabetes among the subjects was 9.4  3.7 years. The mean fasting duration was 10.2  2.1 hours for solids and 2.5  0.7 for liquids. Twelve of the 80 patients exhibited grade 2 stomach. Age  p  0.005, Body mass index  p  0.001, solid fasting duration  p  0.027, and supine and RLD CSA  p  0.001 for both were significantly associated with full stomach. A history of 8 years of diabetes  p  0.001 and peripheral neuropathy  p  0.005 was identified as a risk factor for a full stomach. Conclusions: Despite adherence to standard fasting protocols, 15 of the type 2 DM patients were identified with a full stomach condition. Preoperative ultrasound assessment of gastric contents in patients with type 2 DM, especially with long-standing diabetes  8 years and with peripheral neuropathy is recommended. The findings of this study necessitate additional investigation to support the conceptualization of specific guidelines for diabetes to mitigate the risk of pulmonary aspiration.

 Objectives: Delayed gastric emptying create a risk of pulmonary aspiration during anesthesia. We aim to assess the antral cross-sectional area CSA and gastric volume using ultrasound techniques and to investigate the relationship between these variables and both the duration and regulation of type 2 diabetes mellitus DM. Methods: Gastric volume was estimated by measuring the antral CSA in the supine and right lateral decubitus RLD positions in 80 patients. The antral content was qualitatively classified according to Perlas et al. grades 0, 1, and 2, and gastric volume was computed using a previously described formula. The presence of solid content or  1.5 mLkg fluid in the stomach was classified as indicative of a full stomach. Results: The mean duration of diabetes among the subjects was 9.4  3.7 years. The mean fasting duration was 10.2  2.1 hours for solids and 2.5  0.7 for liquids. Twelve of the 80 patients exhibited grade 2 stomach. Age  p  0.005, Body mass index  p  0.001, solid fasting duration  p  0.027, and supine and RLD CSA  p  0.001 for both were significantly associated with full stomach. A history of 8 years of diabetes  p  0.001 and peripheral neuropathy  p  0.005 was identified as a risk factor for a full stomach. Conclusions: Despite adherence to standard fasting protocols, 15 of the type 2 DM patients were identified with a full stomach condition. Preoperative ultrasound assessment of gastric contents in patients with type 2 DM, especially with long-standing diabetes  8 years and with peripheral neuropathy is recommended. The findings of this study necessitate additional investigation to support the conceptualization of specific guidelines for diabetes to mitigate the risk of pulmonary aspiration.

Makale detayları

Evaluation of ultrasound-measured gastric volume and content in type 2 diabetes mellitus patients undergoing elective surgery: a prospective observational study

Yazarlar:

Asiye Demirel | Mürüvvet Dayıoğlu | Ayşe Neslihan Balkaya | Anıl Onur | Füsun Gözen

Yayıncı:

Prusa Medical Publishing

Ana Başlıklar:

Anaesthesiology

Dergi:

The European Research Journal Vol.9 Issue 5, pp.1083-1092

Belge Tipi:

Makale

Yayın Tarihi:

4/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001288125

pISSN:

2149-3189

Diabetes mellitus

gastric volume

ultrasound

surgery

pulmonary aspiration

delayed gastric emptying

Sayı

Makale detayları

Evaluation of ultrasound-measured gastric volume and content in type 2 diabetes mellitus patients undergoing elective surgery: a prospective observational study

Yazarlar: Asiye Demirel | Mürüvvet Dayıoğlu | Ayşe Neslihan Balkaya | Anıl Onur | Füsun Gözen

Yayıncı: Prusa Medical Publishing

Ana Başlıklar: Anaesthesiology

Dergi: The European Research Journal Vol.9 Issue 5, pp.1083-1092

Belge Tipi: Makale

Yayın Tarihi: 4/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001288125

pISSN: 2149-3189

Diabetes mellitus

gastric volume

ultrasound

surgery

pulmonary aspiration

delayed gastric emptying

Sayı

Yazarlar:

Asiye Demirel | Mürüvvet Dayıoğlu | Ayşe Neslihan Balkaya | Anıl Onur | Füsun Gözen

Yayıncı:

Prusa Medical Publishing

Ana Başlıklar:

Anaesthesiology

Dergi:

The European Research Journal Vol.9 Issue 5, pp.1083-1092

Belge Tipi:

Makale

Yayın Tarihi:

4/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001288125

pISSN:

2149-3189