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      Point-of-Care Gastric Ultrasound in a Pediatric Patient After Bowel Preparation: A Case Report

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          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Polyethylene glycol electrolyte solutions (PEG, NuLYTELY ®) are widely used to prepare the GI tract before colonoscopy or barium enema examinations. Although PEG appears as a clear liquid, the optimal interval for sedation or general anesthesia after the last administration of these solutions is unclear and controversial in the anesthetic literature. We present a 3-year-old patient with intermittent bloody stools who required anesthetic care for esophagogastroduodenoscopy (EGD) and colonoscopy. Given the controversial nil per os time with the use of PEG-containing solutions, point-of-care gastric ultrasound was performed to evaluate gastric contents and gastric volume before the induction of anesthesia.

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          Ultrasound assessment of gastric content and volume.

          P Van de Putte, A Perlas (2014)
          Pulmonary aspiration of gastric content is a serious anaesthetic complication that can lead to significant morbidity and mortality. Aspiration risk assessment is usually based on fasting times. However, fasting guidelines do not apply to urgent or emergent situations and to patients with certain co-morbidities. Gastric content and volume assessment is a new point-of-care ultrasound application that can help determine aspiration risk. This systematic review summarizes the current literature on bedside ultrasound assessment of gastric content and volume relevant to anaesthesia practice. Seventeen articles were identified using predetermined criteria. Studies were classified into those describing the sonographic characteristics of different types of gastric content (empty, clear fluid, solid), and those describing methods for quantitative assessment of gastric volume. A possible algorithm for the clinical application of this new tool is proposed, and areas that require further research are highlighted.
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            Ultrasound assessment of gastric volume in the fasted pediatric patient undergoing upper gastrointestinal endoscopy: development of a predictive model using endoscopically suctioned volumes.

            Jamin Mulvey, Anahi Perlas, Adam Spencer … (2015)
            Aspiration of gastric contents can be a serious anesthetic-related complication. Gastric antral sonography prior to anesthesia may have a role in identifying pediatric patients at risk of aspiration. We examined the relationship between sonographic antral area and endoscopically suctioned gastric volumes, and whether a 3-point qualitative grading system is applicable in pediatric patients.
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              I-AIM framework for point-of-care gastric ultrasound.

              P Van Houwe, A Perlas, P Van de Putte … (2016)
              Article 0 comments Cited 37 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Clin Exp Gastroenterol
                Journal ID (iso-abbrev): Clin Exp Gastroenterol
                Journal ID (publisher-id): CEG
                Journal ID (pmc): ceg
                Title: Clinical and Experimental Gastroenterology
                Publisher: Dove
                ISSN (Electronic): 1178-7023
                Publication date (Electronic): 02 July 2020
                Publication date Collection: 2020
                Volume: 13
                Pages: 245-248
                Affiliations
                [1 ]Department of Anesthesiology and Pain Medicine, Nationwide Children’s Hospital , Columbus, Ohio, USA
                [2 ]Department of Anesthesiology and Pain Medicine, The Ohio State University , Columbus, Ohio, USA
                [3 ]Department of Pediatrics and the Division of Pediatric Gastroenterology, Nationwide Children’s Hospital & the Ohio State University , Columbus, Ohio, USA
                Author notes
                Correspondence: Yoshikazu Yamaguchi Department of Anesthesiology and Pain Medicine, Nationwide Children’s Hospital , 700 Children’s Drive, Columbus, Ohio43205, USATel +1 614 722-4200Fax +1 614 722-4203 Email yoshikaz@rd6.so-net.ne.jp
                Author information
                http://orcid.org/0000-0003-0725-0240
                http://orcid.org/0000-0003-0550-6951
                Article
                Publisher ID: 254793
                DOI: 10.2147/CEG.S254793
                PMC ID: 7342330
                SO-VID: 826169fb-2818-4ee4-9ecc-669ac3e2638b
                Copyright © © 2020 Yamaguchi et al.
                License:

                This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms ( https://www.dovepress.com/terms.php).

                History
                Date received : 20 March 2020
                Date accepted : 28 May 2020
                Page count
                Figures: 3, References: 12, Pages: 4
                Categories
                Subject: Case Report

                ScienceOpen disciplines: Gastroenterology & Hepatology
                Keywords: bowel preparation,point-of-care ultrasound,colonoscopy
                Data availability:
                ScienceOpen disciplines: Gastroenterology & Hepatology
                Keywords: bowel preparation, point-of-care ultrasound, colonoscopy

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