Fortuitous diagnosis of “full stomach” made by using ultrasonographic examination of the antrum in two elective patients
We report two cases of patients presenting for elective surgery, in whom significant gastric contents were identified by performing fortuitous ultrasound examination of their antral area. The first patient presented for a day-case surgery scheduled under regional anesthesia. With his consent, ultras...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Sciendo
2016-09-01
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| Series: | Journal of Ultrasonography |
| Subjects: | |
| Online Access: | http://jultrason.pl/uploads/dm_artykuly/ultrasonography_66_bouvet_v2_1.pdf |
| _version_ | 1818506058509844480 |
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| author | Lionel Bouvet Caroline Augris Clémence Aubergy Dominique Chassard |
| author_facet | Lionel Bouvet Caroline Augris Clémence Aubergy Dominique Chassard |
| author_sort | Lionel Bouvet |
| collection | DOAJ |
| description | We report two cases of patients presenting for elective surgery, in whom significant gastric contents were identified by performing fortuitous ultrasound examination of their antral area. The first patient presented for a day-case surgery scheduled under regional anesthesia. With his consent, ultrasound examination of the antral area was by chance performed within the context of training for this technique, showing significant solid contents in the stomach. The patient admitted that he had not respected preoperative fasting. The second patient was scheduled for an elective ophthalmologic surgery. Ultrasound examination of the antrum showed that the antrum was dilated, with significant solid and liquid gastric contents. This case may be related to a strongly delayed gastric emptying. These two cases demonstrate that some elective patients may present with significant gastric contents exposing them to the risk of pulmonary aspiration in the case of general anesthesia. |
| first_indexed | 2024-12-10T21:59:22Z |
| format | Article |
| id | doaj.art-7ea9f62efa674d6d9e3351e15d4ab62d |
| institution | Directory Open Access Journal |
| issn | 2084-8404 2451-070X |
| language | English |
| last_indexed | 2024-12-10T21:59:22Z |
| publishDate | 2016-09-01 |
| publisher | Sciendo |
| record_format | Article |
| series | Journal of Ultrasonography |
| spelling | doaj.art-7ea9f62efa674d6d9e3351e15d4ab62d2022-12-22T01:31:56ZengSciendoJournal of Ultrasonography2084-84042451-070X2016-09-01166631732110.15557/JoU.2016.0032Fortuitous diagnosis of “full stomach” made by using ultrasonographic examination of the antrum in two elective patientsLionel Bouvet0 Caroline Augris1Clémence Aubergy2Dominique Chassard3Inserm, U1032, LabTau, Lyon, France. University of Lyon, Claude Bernard Lyon 1 University, Lyon, France. Department of Anesthesia and Intensive Care, Hospices Civils de Lyon, Femme Mère Enfant Hospital, Lyon, FranceDepartment of Anesthesia and Intensive Care, Hospices Civils de Lyon, Édouard Herriot Hospital, Lyon, FranceDepartment of Anesthesia and Intensive Care, Hospices Civils de Lyon, Édouard Herriot Hospital, Lyon, FranceUniversity of Lyon, Claude Bernard Lyon 1 University, Lyon, France. Department of Anesthesia and Intensive Care, Hospices Civils de Lyon, Femme Mère Enfant Hospital, Lyon, FranceWe report two cases of patients presenting for elective surgery, in whom significant gastric contents were identified by performing fortuitous ultrasound examination of their antral area. The first patient presented for a day-case surgery scheduled under regional anesthesia. With his consent, ultrasound examination of the antral area was by chance performed within the context of training for this technique, showing significant solid contents in the stomach. The patient admitted that he had not respected preoperative fasting. The second patient was scheduled for an elective ophthalmologic surgery. Ultrasound examination of the antrum showed that the antrum was dilated, with significant solid and liquid gastric contents. This case may be related to a strongly delayed gastric emptying. These two cases demonstrate that some elective patients may present with significant gastric contents exposing them to the risk of pulmonary aspiration in the case of general anesthesia.http://jultrason.pl/uploads/dm_artykuly/ultrasonography_66_bouvet_v2_1.pdfpneumoniaaspirationgastric contentanesthesiologyultrasound |
| spellingShingle | Lionel Bouvet Caroline Augris Clémence Aubergy Dominique Chassard Fortuitous diagnosis of “full stomach” made by using ultrasonographic examination of the antrum in two elective patients Journal of Ultrasonography pneumonia aspiration gastric content anesthesiology ultrasound |
| title | Fortuitous diagnosis of “full stomach” made by using ultrasonographic examination of the antrum in two elective patients |
| title_full | Fortuitous diagnosis of “full stomach” made by using ultrasonographic examination of the antrum in two elective patients |
| title_fullStr | Fortuitous diagnosis of “full stomach” made by using ultrasonographic examination of the antrum in two elective patients |
| title_full_unstemmed | Fortuitous diagnosis of “full stomach” made by using ultrasonographic examination of the antrum in two elective patients |
| title_short | Fortuitous diagnosis of “full stomach” made by using ultrasonographic examination of the antrum in two elective patients |
| title_sort | fortuitous diagnosis of full stomach made by using ultrasonographic examination of the antrum in two elective patients |
| topic | pneumonia aspiration gastric content anesthesiology ultrasound |
| url | http://jultrason.pl/uploads/dm_artykuly/ultrasonography_66_bouvet_v2_1.pdf |
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