PDF(Pubmed)
Abstract：
UNASSIGNED: Gastric ultrasound is an effective, non-invasive method to assess the nature and volume of gastric content in the pediatric population. Recently, the UK, European, and French Pediatric Anesthesia Societies recommend fast for clear fluids in children for 1 h. However, studies showing that 1 h of fasting is safe in the pediatric population are still scarce. This study aims to verify by ultrasound evaluation if 1 h of fasting for clear liquids is sufficient to have an empty stomach before anesthetic induction.
UNASSIGNED: Patients between 11 months and 16 years of age scheduled for elective outpatient surgery were included. A qualitative and quantitative ultrasound evaluation was performed by calculating the cross-sectional area (CSA) of the gastric antrum, 1 h after ingesting a volume of 3 mL/kg of a non-carbonated sports drink, before anesthetic induction.
UNASSIGNED: Fifty patients were included. The average CSA measured by ultrasound was 2.85 ± 1.64 cm2 with an average calculated total volume of 12.9 ± 11.06 mL. All patients had an empty stomach criterion (calculated volume ≤1.5 mL/kg) during the ultrasound evaluation, with an average of 0.40 ± 0.23 mL/kg. With the qualitative assessment of gastric volume, 19 patients (38%) were classified as grade 0, 31 patients (62%) as grade 1, and none as grade 2.
UNASSIGNED: One hour of fasting after ingestion of 3 mL/kg of a non-carbonated sports drink is sufficient to meet ultrasound criteria for an empty stomach in a pediatric population undergoing elective outpatient surgery.
UNASSIGNED: Patients between 11 months and 16 years of age scheduled for elective outpatient surgery were included. A qualitative and quantitative ultrasound evaluation was performed by calculating the cross-sectional area (CSA) of the gastric antrum, 1 h after ingesting a volume of 3 mL/kg of a non-carbonated sports drink, before anesthetic induction.
UNASSIGNED: Fifty patients were included. The average CSA measured by ultrasound was 2.85 ± 1.64 cm2 with an average calculated total volume of 12.9 ± 11.06 mL. All patients had an empty stomach criterion (calculated volume ≤1.5 mL/kg) during the ultrasound evaluation, with an average of 0.40 ± 0.23 mL/kg. With the qualitative assessment of gastric volume, 19 patients (38%) were classified as grade 0, 31 patients (62%) as grade 1, and none as grade 2.
UNASSIGNED: One hour of fasting after ingestion of 3 mL/kg of a non-carbonated sports drink is sufficient to meet ultrasound criteria for an empty stomach in a pediatric population undergoing elective outpatient surgery.
摘要：
■胃超声是一种有效的，非侵入性方法来评估儿童人群胃内容物的性质和体积。最近,英国,欧洲,和法国儿科麻醉协会建议快速清除儿童液体1小时。然而，在儿科人群中显示禁食1小时是安全的研究仍然很少。这项研究旨在通过超声评估来验证在麻醉诱导之前禁食1小时是否足以空腹。
■纳入了年龄在11个月至16岁之间的择期门诊手术患者。通过计算胃窦的横截面积（CSA）进行定性和定量超声评估，摄入3mL/kg体积的非碳酸运动饮料后1小时，麻醉诱导前。
■纳入50名患者。通过超声测量的平均CSA为2.85±1.64cm2,平均计算总体积为12.9±11.06mL。所有患者在超声评估期间均有空腹标准（计算体积≤1.5mL/kg），平均为0.40±0.23mL/kg。随着胃容量的定性评估，19名患者（38％）被分类为0级，31名患者（62％）被分类为1级，无2级。
■在接受择期门诊手术的儿科人群中，摄入3mL/kg的非碳酸运动饮料后一小时禁食足以满足空腹的超声标准。
■纳入了年龄在11个月至16岁之间的择期门诊手术患者。通过计算胃窦的横截面积（CSA）进行定性和定量超声评估，摄入3mL/kg体积的非碳酸运动饮料后1小时，麻醉诱导前。
■纳入50名患者。通过超声测量的平均CSA为2.85±1.64cm2,平均计算总体积为12.9±11.06mL。所有患者在超声评估期间均有空腹标准（计算体积≤1.5mL/kg），平均为0.40±0.23mL/kg。随着胃容量的定性评估，19名患者（38％）被分类为0级，31名患者（62％）被分类为1级，无2级。
■在接受择期门诊手术的儿科人群中，摄入3mL/kg的非碳酸运动饮料后一小时禁食足以满足空腹的超声标准。
