Key result
Standard fasting protocols leave 15% of T2DM patients with a full stomach before elective surgery.
Why the study?
Delayed gastric emptying creates a risk of pulmonary aspiration during anesthesia, prompting the evaluation of ultrasound-measured gastric volume and antral cross-sectional area and their relationship with diabetes duration and regulation.
Does preoperative ultrasound assessment identify a full stomach in type 2 diabetes mellitus patients despite adherence to standard fasting protocols?
Observational (n=80)
No
Does preoperative ultrasound assessment identify a full stomach in type 2 diabetes mellitus patients despite adherence to standard fasting protocols?
Preoperative ultrasound reveals that 15% of patients with type 2 diabetes have a full stomach despite standard fasting, highlighting the need for individualized fasting guidelines, especially in those with long-standing diabetes or neuropathy.
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May warrant caution with standard fasting in T2DM; leaves open individualized protocols pending prospective trials.
Demırel et al. (2023) conducted an observational in Type 2 diabetes mellitus (n=80). Preoperative fasting was evaluated on Incidence of full stomach (grade 2). Despite adherence to standard fasting protocols, 15% of type 2 diabetes mellitus patients undergoing elective surgery were identified with a full stomach condition.
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