• A&A practice · Jul 2024

    Case Reports

    Point-of-Care Ultrasound for Gastric Volume Measurement in a Pediatric Patient-Look Beyond the Antrum: A Case Report.

    • Suryakumar Narayanasamy, Joseph B Weethee, Deepika S Rao, and Marc D Mecoli.
    • From the Department of Anesthesiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
    • A A Pract. 2024 Jul 1; 18 (7): e01824e01824.

    AbstractGastric ultrasound estimates stomach contents in perioperative patients. A 10-year-old boy with abdominal rhabdomyosarcoma, who received abdominal radiation, developed gastroparesis and was scheduled for endoscopic gastrointestinal pyloric dilation. Point-of-care gastric ultrasound revealed gastric antral cross-sectional area of 6.5 cm2 (estimated gastric content ~30 mL). However, dynamic right-to-left ultrasound revealed more hypoechoic material in the fundus of the stomach. On induction ~125 mL of stomach contents was suctioned. Antral measurements may not accurately predict the stomach contents in the setting of a stiff/fixed antrum. Scanning from antrum to fundus determined contents more accurately, especially with a prior history of abdominal radiation.Copyright © 2024 International Anesthesia Research Society.

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