POCUS for Gastric Emptying in Emergency Surgery

NCT06008509 | Recruiting

• 1 other identifier: 221116005
• Study Type: interventional
• Target: 300
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this clinical trial is to learn about the gastric emptying in adult patients that are going to operatin theatre due to an abdominal acute disease, for instance, intestinal obstruction or cholecystitis. This kind of patients are traditionally considered as a full stomach and the induction of anesthesia include rapid sequence intubation (RSI) in order to decrease the risk of aspiration . However, image technologies, like echography, allow the visualization of the stomach and to measure the amount and characteristics of the content lodged in the stomach. This information is vital to decide if RSI is necesary or not. The main question\[s\] it aims to answer are:

• What is the percentages of full stomach in patient who come to the operating room due an abodiminal acute disease?
• Are different variables, namely, time since diagnosis, use of antibiotics or non steroidal antiinflamatory drugs related with the content of the stomach? Participants will be evaluated with ecography to determinate the amount of content of the stomach before the surgery in the operating room.

Conditions

Gastric Emptying; Abdomen, Acute

Outcome Measures

Primary Outcomes (1)

• Number of patients with properative full stomach and type of content that they present

  Number of patients that present full stomach determinated by a mathematical formula obtained by a prior study of Perlas et al, according to the gastric perimeter measured in centimeters. In case of the stomach present content by the formula, the contet will be described in three categories: Solid, liquid or difusse.

  Through study completion, an average of 1 year

Secondary Outcomes (1)

• Relation between some interventions, for instance: use of antibiotics, antiinflamatory drugs and time of fasting with gastric emptying.

  through study completion, an average of 1 year

Study Arms (1)

Gastric Echography

EXPERIMENTAL

All the patients that entry to the study are going to recieve gastric echography to determine the level of gastric emptying before the induction of anesthesia.

Procedure: Gastric echography preoperative

Interventions

Gastric echography preoperative PROCEDURE

Patients with acute abdomen that are going to surgery, are going to recieve a gastric echography in the surgery room before the start of anesthesia. This procedure include vision of the stomach during supine position and lateral position with curve transductor.

Gastric Echography

Eligibility Criteria

• Age: 18 Years - 100 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Adults patients
• Emergency surgery
• Diagnosis of Acute Abdomen

You may not qualify if:

• Younger than 18 years old
• No posibility of adopt lateral decubitus.

Sponsors & Collaborators

• Pontificia Universidad Catolica de Chile: lead

Study Sites (1)

Hospital clinico UC christus

Santiago, Santiago Metropolitan, Chile

RECRUITING

MeSH Terms

Conditions

Abdomen, Acute

Condition Hierarchy (Ancestors)

Abdominal Pain; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Signs and Symptoms, Digestive

Study Officials

• Juan Carlos De la Cuadra, Assosiate Professor

  Pontificia Universidad Catolica de Chile

  STUDY CHAIR

Central Study Contacts

Alejandro luengo, clinical professor

CONTACT

+56990951086; ajluengo@uc.cl

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: DIAGNOSTIC
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Clinical Professor

Model Details: Descriptive study where patients are going to recieve and abdominal image exam (gastric Ultrasound)

Study Record Dates

• First Submitted: August 8, 2023
• First Posted: August 23, 2023
• Study Start: April 24, 2024
• Primary Completion: July 30, 2024
• Study Completion: December 30, 2024
• Last Updated: April 24, 2024

Record last verified: 2024-04

Locations

CL (1)