Key result
Routine pre-operative gastric ultrasound enabled changes in anaesthetic management in 19% (379/2003) of adult patients undergoing elective or emergency surgery.
Why the study?
Point-of-care gastric sonography offers an objective assessment of pulmonary aspiration risk, but its impact on peri-operative management in surgical patients required evaluation.
Does routine pre-operative gastric ultrasound change peri-operative aspiration risk management in adult patients undergoing surgery?
Population
2003 adult patients undergoing elective or emergency surgery at a single centre
Comparison
Routine pre-operative gastric ultrasound vs pre-defined anaesthetic plan
Design
Single-centre prospective observational cohort study
Authors
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Gastric ultrasound may inform individualized aspiration risk assessment; leaves open whether routine use alters outcomes or practice in unselected surgical patients.
Cohort (n=2,003)
No
Does routine pre-operative gastric ultrasound change peri-operative aspiration risk management in adult patients undergoing surgery?
Routine pre-operative gastric ultrasound changes anaesthetic management in nearly 20% of surgical patients at risk of aspiration, most frequently allowing a more liberal approach.
Baettig et al. (2023) conducted a cohort in risk of pulmonary aspiration (n=2,003). routine pre-operative gastric ultrasound was evaluated on changes in anaesthetic management. Routine pre-operative gastric ultrasound enabled changes in anaesthetic management in 19% (379/2003) of adult patients undergoing elective or emergency surgery.
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