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The proposed study will use this technology to observe emptying of the stomach of a protein and carbohydrate rich clear liquid sports/nutrition drink.
In order to ensure safety for elective anesthesia, standard practice requires pre-operative fasting to ensure that the stomach is empty prior to induction. The question of timing of pre-operative consumption of oral fluids remains vexed, and challenges anesthesiologists on a frequent basis. In the past few years, a new controversy in pre-operative fasting has arisen: clear drinks with increased content of protein and carbohydrate have been introduced to the market. Families and professionals alike are confused whether to regard these products as clear liquids (2 hours fasting) or as solids (at least 6 hours).
Ultrasound is now considered an accepted tool in the anesthesia literature as a surrogate for aspiration risk with different materials and in different disease states.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 2% Milk | Other | 16 participants will drink 10 ounces of 2% milk Ultrasound scan will be performed at the time of beverage administration and then every 30 minutes thereafter until beverage has been cleared from the stomach |
|
| Apple Juice | Other | 16 participants will drink 10 ounces of apple juice Ultrasound scan will be performed at the time of beverage administration and then every 30 minutes thereafter until beverage has been cleared from the stomach |
|
| Ensure Clear | Other | 16 participants will drink 10 ounces of ensure clear Ultrasound scan will be performed at the time of beverage administration and then every 30 minutes thereafter until beverage has been cleared from the stomach |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ultrasound | Procedure | Baseline ultrasound is performed upon arrival. Ultrasound is performed when beverage is consumed and then every 30 minutes thereafter until stomach is empty. |
| Measure | Description | Time Frame |
|---|---|---|
| Measurement of rate of gastric emptying through measure of the gastric antral cross-sectional area (CSA) | Participants will be followed up to 6 hours after drinking 10 ounces of beverage | |
| Subjective evolution of hunger after ingestion of clear fluids using a validated visual analog scale called the Hunger Satiety Score | Participants will be followed up to 6 hours after drinking 10 ounces of beverage |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jayant Pratap, MD | Children's Hospital Medical Center, Cincinnati | Principal Investigator |
| Trung Du, MD | Children's Hospital Medical Center, Cincinnati | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cincinnati Children's Medical Center | Cincinnati | Ohio | 45229-3039 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29077812 | Derived | Du T, Hill L, Ding L, Towbin AJ, DeJonckheere M, Bennett P, Hagerman N, Varughese AM, Pratap JN. Gastric emptying for liquids of different compositions in children. Br J Anaesth. 2017 Nov 1;119(5):948-955. doi: 10.1093/bja/aex340. |
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| ID | Term |
|---|---|
| D019220 | High-Energy Shock Waves |
| D008892 | Milk |
| ID | Term |
|---|---|
| D000069453 | Ultrasonic Waves |
| D013016 | Sound |
| D011840 | Radiation, Nonionizing |
| D011827 | Radiation |
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| 2% milk | Other | 16 participants will drink 10 ounces of 2% milk |
|
| apple juice | Other | 16 participants will drink 10 ounces of apple juice |
|
| ensure clear | Other | 16 participants will drink 10 ounces of ensure clear |
|
| D055585 |
| Physical Phenomena |
| D001628 | Beverages |
| D000066888 | Diet, Food, and Nutrition |
| D010829 | Physiological Phenomena |
| D003611 | Dairy Products |
| D005502 | Food |
| D019602 | Food and Beverages |