PDF(Pubmed)
Abstract：
Pulmonary aspiration is a severe complication in patients receiving anesthesia for surgical procedures. The risk and severity of aspiration are significantly higher in the presence of substantial gastric contents. Bedside ultrasound imaging of the gastric antrum is emerging as a rapid and valuable method to evaluate gastric contents before surgery. Rapid gastric ultrasound using a three-category grading system promotes timely decision-making to help in emergent or urgent surgeries by identifying patients with potentially high gastric volumes or solid food contents. In emergent cases with limited time, a single ultrasound view of the gastric antrum is still likely to yield helpful information. In this report, we argue that bedside ultrasound offers a more reliable assessment of gastric contents than assumptions based on time-based fasting guidelines.
摘要：
肺吸入是接受手术麻醉的患者的严重并发症。在存在大量胃内容物的情况下，误吸的风险和严重程度明显更高。胃窦的床旁超声成像正在成为一种快速而有价值的方法，可以在手术前评估胃内容物。使用三类分级系统的快速胃超声可通过识别具有潜在高胃量或固体食物含量的患者来促进及时决策，以帮助紧急或紧急手术。在时间有限的紧急情况下，胃窦的单个超声视图仍可能产生有用的信息。在这份报告中,我们认为,与基于时间的禁食指南的假设相比,床旁超声对胃内容物的评估更可靠.
