PDF(Pubmed)
Abstract：
Gastric content aspiration occurs once every 2000-3000 general anaesthetics. It is associated with a 20% incidence of in-hospital mortality. The incidence of pulmonary aspiration in patients undergoing surgery is at least three times more, up to 1 in 895 general anaesthetics. Pulmonary aspiration indeed is associated with half of our airway-related mortality linked with anaesthesia. The pulmonary aspiration causes significant morbidity including respiratory failure, acute lung injury, and multi-organ failure in adults. This review study aims to compare the stomach volume and contents in patients following standard fasting guidelines by Point of care gastric ultrasound measurements. Perioperative gastric ultrasound is a developing diagnostic modality that is modest, easy, non-invasive and efficient. It is very helpful to determine gastric contents in adult, obese, paediatric, and obstetric patients. It is a dependable and replicable tool that can be used for effective anaesthetic management. Gastric ultrasound is an irreplaceable procedure to complement the use of fasting guidelines, particularly when these guidelines have not been followed, or may not be relevant. Further series of research with metanalysis is required to understand the influence of point-of-care gastric ultrasound assessment on perioperative outcomes.
摘要：
胃内容物抽吸每2000-3000次全身麻醉发生一次。它与20%的院内死亡率相关。在接受手术的患者中，肺吸入的发生率至少是三倍以上，高达1/895全身麻醉药。肺吸入确实与我们一半的与麻醉有关的气道相关死亡率有关。肺吸入导致严重的发病率，包括呼吸衰竭，急性肺损伤，和成人的多器官衰竭。这项综述研究旨在通过定点护理胃超声测量来比较遵循标准禁食指南的患者的胃体积和内容物。围手术期胃超声是一种发展中的诊断方式，easy,非侵入性和高效。这对成人确定胃内容物非常有帮助，肥胖，儿科,和产科患者。这是一个可靠的和可复制的工具，可用于有效的麻醉管理。胃超声是补充禁食指南使用的不可替代的程序，特别是当这些准则没有得到遵守时，或者可能不相关。需要进行进一步的Meta分析研究，以了解护理点胃超声评估对围手术期结局的影响。
