Accuracy of Gastric Ultrasound to Diagnose a "Full Stomach". A Bayesian Framework

NCT ID: NCT02588495

Last Updated: 2017-11-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-10-26

Study Completion Date

2017-06-30

Brief Summary

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During surgery, there is a risk that food or liquid in the stomach might be forced back up the throat where it could enter the lungs (aspirate) and result in serious complications or even death. This is why people going for surgery are required not to eat before their surgery. However, in emergency situations it is often not possible to know whether a patient has recently eaten or not. Anesthesiologists have recently developed an ultrasound test to determine if there is content in a patient's stomach and how much. This test involves an ultrasound examination of the abdomen and taking some measurements on the ultrasound screen.

The purpose of this study is to determine how accurate these measurements are. In other words, how good are we at detecting an empty stomach from one that has liquids, or solids in it. You are being asked to participate in this study because we require non-pregnant volunteers in order to answer the aforementioned study question.

Detailed Description

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Conditions

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Aspiration

Keywords

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Ultrasound Gastric area Accuracy Aspirate

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Fasting

Participant will remain fasted following initial gastric ultrasound

Group Type NO_INTERVENTION

No interventions assigned to this group

Food intake

Participant will ingest either 250mL of clear fluid (apple juice) or 250mL of coffee and a muffin following initial gastric ultrasound

Group Type EXPERIMENTAL

Food intake

Intervention Type OTHER

Either drinking a cup of clear liquid, or having a cup of coffee and a muffin

Interventions

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Food intake

Either drinking a cup of clear liquid, or having a cup of coffee and a muffin

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Healthy volunteers aged 18 to 85 years
* Male or female
* American Society of Anesthesia physical status classification I and II
* Height greater than 145 cm
* Ability to understand the study protocol and provide informed consent

Exclusion Criteria

* Subjects predisposed to have an increased residual gastric volume at baseline (eg. Diabetes or any known dysmotility)
* History of major upper gastrointestinal disease (including hiatus hernia or prior gastroduodenal surgery)
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University Health Network, Toronto

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Anahi Perlas, MD

Role: PRINCIPAL_INVESTIGATOR

Staff Anesthesiologist

Locations

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Toronto Western Hospital

Toronto, Ontario, Canada

Site Status

Countries

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Canada

References

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Kruisselbrink R, Gharapetian A, Chaparro LE, Ami N, Richler D, Chan VWS, Perlas A. Diagnostic Accuracy of Point-of-Care Gastric Ultrasound. Anesth Analg. 2019 Jan;128(1):89-95. doi: 10.1213/ANE.0000000000003372.

Reference Type DERIVED
PMID: 29624530 (View on PubMed)

Other Identifiers

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14-7883-BE

Identifier Type: -

Identifier Source: org_study_id