Feasibility of Nurse-performed Gastric Ultrasound After Surgery

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

RECRUITING

Total Enrollment

135 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-04-22

Study Completion Date

2024-12-24

Brief Summary

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Gastric ultrasound is a quick and non-invasive tool to evaluate gastric content.

Emptying of gastric content can be affected after abdominal surgery leading to the inability of tolerating oral foods. Gastric content can be assessed by gastric ultrasound and nurses were recently trained to do so in healthy volunteers; however, feasibility of nurse-performed gastric ultrasound after major abdominal surgery is not investigated yet.

This study aims to investigate the feasibility of nurse-performed gastric point-of-care ultrasound after major gastro-intestinal surgery.

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Detailed Description

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Conditions

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Point-of-care-ultrasound Gastric Ultrasonography Gastric Ultrasound Gastro Intestinal Surgery Nursing Abdominal Surgeries

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Patients after gastro-intestinal surgery

Postoperative patients after gastro-intestinal surgery (e.g. liver, pancreatic, colorectal or hyperthermic intraperitoneal chemotherapy (HIPEC) surgery)

gastric ultrasonograppy

Intervention Type DIAGNOSTIC_TEST

Patients will be scanned in both supine and right lateral decubitus position (RLD)s. If the antrum is visible, it will be judged if the antrum is empty in both positions or the antrum is empty in supine position and fluid apparent in RLD position suggesting a low fluid volume (\<1,5 ml/Kg). The third option is fluid apparent in both supine and RLD position, suggesting a higher fluid volume (\>1,5ml/Kg) and the last option is solid food in one or both positions.

Interventions

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gastric ultrasonograppy

Patients will be scanned in both supine and right lateral decubitus position (RLD)s. If the antrum is visible, it will be judged if the antrum is empty in both positions or the antrum is empty in supine position and fluid apparent in RLD position suggesting a low fluid volume (\<1,5 ml/Kg). The third option is fluid apparent in both supine and RLD position, suggesting a higher fluid volume (\>1,5ml/Kg) and the last option is solid food in one or both positions.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Adult patients (\>18 years)
* Underwent gastrointestinal surgery:

* partial liver resection,
* colorectal resection,
* HIPEC,
* pancreatic procedures including Whipple procedures for pancreatic cancer or pancreatic disorders,
* other gastro- intestinal abdominal procedures such as resections of sarcomas, correction of herniation.
* Obtained written informed consent.
* Admitted for at least 3 days.

Exclusion Criteria

* patients with open abdominal wounds or with abdominal pain hindering adequate gastric ultrasound
* patients with a Percutaneous Endoscopic Gastrostomy catheter

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No