用于胃内容物评估的胃超声波。

Shubha Srinivasareddy
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引用次数: 0

摘要

每 2000-3000 例全身麻醉中就会发生一次胃内容物吸入。它与 20% 的院内死亡率有关。在接受手术的患者中,肺吸入的发生率至少要高出三倍,高达每 895 例全身麻醉中就有 1 例。在与麻醉有关的气道相关死亡率中,有一半确实与肺吸入有关。肺吸入会导致成人呼吸衰竭、急性肺损伤和多器官功能衰竭等严重并发症。这项回顾性研究旨在通过护理点胃部超声测量,比较遵循标准空腹指南的患者的胃容量和内容物。围手术期胃超声是一种正在发展中的诊断方式,具有适度、简便、无创和高效的特点。它非常有助于确定成人、肥胖、儿科和产科患者的胃内容物。它是一种可靠、可复制的工具,可用于有效的麻醉管理。胃部超声波是一种不可替代的程序,可补充空腹指南的使用,尤其是在未遵循这些指南或这些指南可能不相关的情况下。要了解护理点胃部超声波评估对围手术期结果的影响,还需要进一步的系列研究和荟萃分析。
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Gastric Ultrasound for Gastric Content Evaluation.

Gastric content aspiration occurs once every 2000-3000 general anaesthetics. It is associated with a 20% incidence of in-hospital mortality. The incidence of pulmonary aspiration in patients undergoing surgery is at least three times more, up to 1 in 895 general anaesthetics. Pulmonary aspiration indeed is associated with half of our airway-related mortality linked with anaesthesia. The pulmonary aspiration causes significant morbidity including respiratory failure, acute lung injury, and multi-organ failure in adults. This review study aims to compare the stomach volume and contents in patients following standard fasting guidelines by Point of care gastric ultrasound measurements. Perioperative gastric ultrasound is a developing diagnostic modality that is modest, easy, non-invasive and efficient. It is very helpful to determine gastric contents in adult, obese, paediatric, and obstetric patients. It is a dependable and replicable tool that can be used for effective anaesthetic management. Gastric ultrasound is an irreplaceable procedure to complement the use of fasting guidelines, particularly when these guidelines have not been followed, or may not be relevant. Further series of research with metanalysis is required to understand the influence of point-of-care gastric ultrasound assessment on perioperative outcomes.

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