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This is an observational, prospective, monocentric, diagnostic study aiming to evaluate the diagnostic properties of the presence of nausea-vomiting in predicting the existence of gastric contents in preoperative surgical abortion.
Most surgical abortions are performed under general anaesthesia. Inhalation of gastric contents is one of the main complications of general anesthesia, in terms of frequency and severity. Patients in the 1st trimester of pregnancy are frequently subject to nausea and vomiting, even on an empty stomach. The presence of nausea and vomiting prior to surgery means that the anesthetic protocol needs to be modified, as there is a greater risk of complications, particularly allergic ones. Preoperative gastric ultrasound is recognized for its ability to predict the risk of gastric inhalation during anesthesia. It is a non-irradiating, non-invasive, painless and rapid examination. There are no data on the association between gestational nausea and vomiting and the risk of inhalation in the context of preoperative fasting. There are no data on the gastric volume of patients in the 1st trimester of pregnancy with or without nausea. Does gestational nausea and vomiting represent an anesthetic risk of gastric inhalation?
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Data collection from gastric ultrasound | Procedure | observational study |
| Measure | Description | Time Frame |
|---|---|---|
| Prediction of gastric content by ultrasound | according to the presence of nausea or vomiting : Sensitivity, specificity, positive and negative predictive values | Day 0 |
| Measure | Description | Time Frame |
|---|---|---|
| Prevalence of presence of gastric content | Solid / liquid / none | Day 0 |
| nausea or vomiting | Presence of nausea or vomiting on the day of surgery, or use of anti-nausea medication during pregnancy |
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Inclusion Criteria:
Exclusion Criteria:
Patient under guardianship or curatorship.
Patient with language barrier.
Any condition causing the patient to be considered as having a "full stomach" even before the gastric ultrasound:
Opposition of the patient to the re-use of her data for the study.
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Patients undergoing Voluntary termination of pregnancy by dilatation and aspiration before 14 weeks of amenorrhea
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| Name | Affiliation | Role |
|---|---|---|
| Léo COINUS, MD | CHR Metz Thionville Hopital Mercy | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHR Metz-Thionville/Hopital Mercy | Metz | 57085 | France |
According to the French law and the French Data Protection Authority (CNIL), we won't be able to publicly share individual participant data, but we plan to share their conclusions through peer-reviewed publications and conferences.
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| Day 0 |
| Anesthesia protocol | incidence of modification of anesthesia protocol consecutive of the realization of gastric ultrasound | Day 0 |
| Respiratory complications | any respiratory complications that may have occurred during the operation, right up to the time of discharge from the recovery room | At discharge from the recovery room up to one hour |