Key result
Diabetic autonomic neuropathy predicted the presence of solid food particles in gastric contents, but not larger gastric liquid volume or lower pH compared to nondiabetic controls.
Why the study?
Does the diagnosis of diabetic autonomic neuropathy using cardiovascular AFTs predict gastric contents in patients undergoing elective ambulatory surgery?
Observational (n=51)
Does the diagnosis of diabetic autonomic neuropathy using cardiovascular AFTs predict gastric contents in patients undergoing elective ambulatory surgery?
Cardiovascular autonomic function tests can identify diabetic patients at risk for retained solid food particles in the stomach, potentially increasing aspiration risk during anesthesia.
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Cardiovascular autonomic testing may flag retained solids in diabetics; leaves open whether this informs aspiration risk or fasting protocols in ambulatory surgery.
Ishihara et al. (1994) conducted an observational in Diabetes mellitus (n=51). Diabetic autonomic neuropathy (DAN) vs. DAN-negative diabetics and nondiabetics was evaluated on Gastric volume, pH, and presence of solid food particles. Diabetic autonomic neuropathy predicted the presence of solid food particles in gastric contents, but not larger gastric liquid volume or lower pH compared to nondiabetic controls.
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