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Gastric Ultrasound in Pediatric Trauma Patients
Sponsor: Children's Hospital of Philadelphia
Summary
Gastric ultrasound has become increasingly utilized to examine volume and quality of gastric contents in the preoperative setting to guide anesthetic management and relay risk of aspiration in both adult and pediatric medicine. Gastric fluid volumes in trauma patients are thought to be elevated due to delayed gastric emptying in the setting of an over-attenuated sympathetic response to physical pain and stress, opioid analgesia, and other associated injuries (traumatic brain). However, there is a paucity of literature examining gastric fluid volumes (GFV), measured by gastric ultrasound, in the pediatric trauma population. The purpose of the study is to assess whether preoperative gastric ultrasound is an accurate method to identify pediatric trauma patients who have elevated GFV (\>0.8mL/kg) and high-risk gastric contents (solids, complex liquids, in addition to large volumes).
Official title: Evaluation of Gastric Contents by Ultrasound in Pediatric Trauma Patients Undergoing General Anesthesia
Key Details
Gender
All
Age Range
0 Years - 17 Years
Study Type
OBSERVATIONAL
Enrollment
40
Start Date
2022-03-26
Completion Date
2026-12-31
Last Updated
2026-02-20
Healthy Volunteers
Not specified
Conditions
Interventions
Gastric Ultrasound
The investigators will compare gastric fluid volume as determined by ultrasound pre-induction vs. gastric volume aspirated via an orogastric tube post-intubation. The results will be stratified into low risk, moderate risk and high risk for aspiration based on ultrasound exam by an investigator off-line.
Locations (1)
Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, United States