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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Fasting | No Intervention | Participant will remain fasted following initial gastric ultrasound | |
| Food intake | Experimental | Participant will ingest either 250mL of clear fluid (apple juice) or 250mL of coffee and a muffin following initial gastric ultrasound |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Food intake | Other | Either drinking a cup of clear liquid, or having a cup of coffee and a muffin |
|
| Measure | Description | Time Frame |
|---|---|---|
| Ultrasound's sensitivity to identify a "full stomach" | Scanning the stomach to identify if the participant is fasted or has ingested liquid or solids | 5 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| Ultrasound's accuracy in detecting a "full stomach" | Assessing how accurate the Ultrasound machine is in detecting either liquid or solid contents in the participant's stomach after ingestion | 5 minutes |
| Inter/Intra-rater reliability of observer in detecting a "full stomach" |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Anahi Perlas, MD | Staff Anesthesiologist | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Toronto Western Hospital | Toronto | Ontario | M5T 2S8 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29624530 | Derived | 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. |
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| ID | Term |
|---|---|
| D004435 | Eating |
| ID | Term |
|---|---|
| D009747 | Nutritional Physiological Phenomena |
| D000066888 | Diet, Food, and Nutrition |
| D010829 | Physiological Phenomena |
| D004068 | Digestive System Physiological Phenomena |
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Determining the reliability of observers in being able to similarly detect a full stomach |
| 5 minutes |
| D055688 | Digestive System and Oral Physiological Phenomena |