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Gastric ultrasound is a quick and non-invasive tool to evaluate gastric content.
Emptying of gastric content can be affected after abdominal surgery leading to the inability of tolerating oral foods. Gastric content can be assessed by gastric ultrasound and nurses were recently trained to do so in healthy volunteers; however, feasibility of nurse-performed gastric ultrasound after major abdominal surgery is not investigated yet.
This study aims to investigate the feasibility of nurse-performed gastric point-of-care ultrasound after major gastro-intestinal surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients after gastro-intestinal surgery | Postoperative patients after gastro-intestinal surgery (e.g. liver, pancreatic, colorectal or hyperthermic intraperitoneal chemotherapy (HIPEC) surgery) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| gastric ultrasonograppy | Diagnostic Test | Patients will be scanned in both supine and right lateral decubitus position (RLD)s. If the antrum is visible, it will be judged if the antrum is empty in both positions or the antrum is empty in supine position and fluid apparent in RLD position suggesting a low fluid volume (<1,5 ml/Kg). The third option is fluid apparent in both supine and RLD position, suggesting a higher fluid volume (>1,5ml/Kg) and the last option is solid food in one or both positions. |
| Measure | Description | Time Frame |
|---|---|---|
| Feasibility of gastric ultrasound in terms of practicality | Practicality of gastric ultrasound will be measured by the length in minutes. | through study completion, for 6 months |
| Feasibility of gastric ultrasound in terms of usability | The Dutch-System Usability Scale will be used to assess usability | through study completion, for 6 months |
| Feasibility of gastric ultrasound in terms of acceptability perceived by patients | Acceptability will be measured by the patients' perspective towards undergoing gastric ultrasound during recovery after surgery. | through study completion, for 6 months |
| Feasibility of gastric ultrasound in terms of demand | Demand will be measured by indications for gastric ultrasound and the change for successful image acquisition. Indications involve a description of clinical signs that were present during the gastric ultrasound performance. Each attempt for gastric ultrasound will be counted, afterwards adequate images will be counted. Change for succesfull image acquisition wil be calculated by adequate images divided by numbers of attemps. Both values indicate the demand according to its definition | through study completion, for 6 months |
| Feasibility of Gastric ultrasound in terms of nurses accuracy and nurses confidence | The nurses accuracy and nurses' confidence to perform gastric ultrasound will be assessed. Accuracy will be measured by validating the ultrasound findings independently by expert sonographers and the nurses for their peers, determining inter-rater reliability. | through study completion, an average of 6 months |
| Feasibility of gastric ultrasound in terms of acceptability perceived by nurses |
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Inclusion Criteria:
Adult patients (>18 years)
Underwent gastrointestinal surgery:
Obtained written informed consent.
Admitted for at least 3 days.
Exclusion Criteria:
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Patients are selected from a surgical ward, patients recover from liver surgery, colorectal or hyperthermic intraperitoneal chemotherapy (HIPEC) surgery, pancreatic surgery, or other gastro-intestinal abdominal procedures
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Harm H.J. van Noort, PhD | Contact | 0243613438 | harm.vannoort@radboudumc.nl |
| Name | Affiliation | Role |
|---|---|---|
| Harm HJ van Noort, PhD | Radboud University Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| RadboudUMC | Recruiting | Nijmegen | Gelderland | 6525GE | Netherlands |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24893784 | Background | Van de Putte P, Perlas A. Ultrasound assessment of gastric content and volume. Br J Anaesth. 2014 Jul;113(1):12-22. doi: 10.1093/bja/aeu151. Epub 2014 Jun 3. | |
| 36602237 | Background | Lamm R, Collins M, Bloom J, Joel M, Iosif L, Park D, Reny J, Schultz S, Yeo CJ, Beausang D, Schwenk ES, Costanzo C, Phillips BR. Postoperative Handheld Gastric Point-of-Care Ultrasound and Delayed Bowel Function. J Am Coll Surg. 2023 Apr 1;236(4):554-559. doi: 10.1097/XCS.0000000000000536. Epub 2023 Jan 5. |
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Data will be stored according to hospital guidelines and shared upon reasonable request
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Acceptability will be measured by the nurses' perspective towards the acceptability of gastric ultrasound. This is measured with the Theoretical Framework of Acceptability-based (TFA) questionnaire which is modified to assess the acceptability of gastric ultrasound during recovery after surgery. |
| through study completion, for 6 months |
| Radboudumc | Recruiting | Nijmegen | 6525GE | Netherlands |
|
| 35339785 | Background | Lamm R, Bloom J, Collins M, Goldman D, Beausang D, Costanzo C, Schwenk ES, Phillips B. A Role for Gastric Point of Care Ultrasound in Postoperative Delayed Gastrointestinal Functioning. J Surg Res. 2022 Aug;276:92-99. doi: 10.1016/j.jss.2022.02.028. Epub 2022 Mar 24. |
| 34924254 | Background | Brotfain E, Erblat A, Luft P, Elir A, Gruenbaum BF, Livshiz-Riven I, Koyfman A, Fridrich D, Koyfman L, Friger M, Grivnev A, Zlotnik A, Klein M. Nurse-performed ultrasound assessment of gastric residual volume and enteral nasogastric tube placement in the general intensive care unit. Intensive Crit Care Nurs. 2022 Apr;69:103183. doi: 10.1016/j.iccn.2021.103183. Epub 2021 Dec 16. |
| 23703533 | Background | Arzola C, Carvalho JC, Cubillos J, Ye XY, Perlas A. Anesthesiologists' learning curves for bedside qualitative ultrasound assessment of gastric content: a cohort study. Can J Anaesth. 2013 Aug;60(8):771-9. doi: 10.1007/s12630-013-9974-y. Epub 2013 May 24. |
| 34465303 | Background | Cozza V, Barberis L, Altieri G, Donatelli M, Sganga G, La Greca A. Prediction of postoperative nausea and vomiting by point-of-care gastric ultrasound: can we improve complications and length of stay in emergency surgery? A cohort study. BMC Anesthesiol. 2021 Aug 31;21(1):211. doi: 10.1186/s12871-021-01428-0. |