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A protocol implementation to determine aspiration risk in patients with multiple risk factors for gastroparesis.

Publication ,  Journal Article
Schwisow, S; Falyar, C; Silva, S; Muckler, VC
Published in: Journal of perioperative practice
July 2022

Patients with risk factors for gastroparesis are at increased risk for aspiration into the tracheobronchial tree. Current American Society of Anesthesiologists fasting guidelines use subjective measures to determine aspiration risk. A gastric ultrasound protocol can identify patients with risk factors for gastroparesis and determine the need to perform a point-of-care gastric ultrasound to objectively assess gastric antral contents. This enables the anaesthesia provider to assess patients at increased risk for aspiration. Additionally, many patients who present for surgery with risk factors for gastroparesis have an empty gastric antrum. Thus, the gastric ultrasound protocol checklist saves time and manpower requirements of anaesthesia staff without impacting patient safety or perioperative efficiency. A convenience sample of 40 patients consented for surgery was assessed using a screening tool to identify those at risk for gastroparesis and possible aspiration. Patients deemed at risk received a gastric ultrasound examination to evaluate for the presence of gastric contents. Over 12% of these patients had solid food gastric contents on exam. All patients with solid food gastric contents had an American Society of Anesthesiologists Physical Status Classification of 3 or higher, and two or more risk factors for gastroparesis.

Duke Scholars

Published In

Journal of perioperative practice

DOI

EISSN

2515-7949

ISSN

1750-4589

Publication Date

July 2022

Volume

32

Issue

7-8

Start / End Page

172 / 177

Related Subject Headings

  • Risk Factors
  • Pyloric Antrum
  • Prospective Studies
  • Humans
  • Gastroparesis
  • Gastrointestinal Contents
  • 4205 Nursing
  • 1110 Nursing
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Schwisow, S., Falyar, C., Silva, S., & Muckler, V. C. (2022). A protocol implementation to determine aspiration risk in patients with multiple risk factors for gastroparesis. Journal of Perioperative Practice, 32(7–8), 172–177. https://doi.org/10.1177/1750458921996925
Schwisow, Sarah, Christian Falyar, Susan Silva, and Virginia C. Muckler. “A protocol implementation to determine aspiration risk in patients with multiple risk factors for gastroparesis.Journal of Perioperative Practice 32, no. 7–8 (July 2022): 172–77. https://doi.org/10.1177/1750458921996925.
Schwisow S, Falyar C, Silva S, Muckler VC. A protocol implementation to determine aspiration risk in patients with multiple risk factors for gastroparesis. Journal of perioperative practice. 2022 Jul;32(7–8):172–7.
Schwisow, Sarah, et al. “A protocol implementation to determine aspiration risk in patients with multiple risk factors for gastroparesis.Journal of Perioperative Practice, vol. 32, no. 7–8, July 2022, pp. 172–77. Epmc, doi:10.1177/1750458921996925.
Schwisow S, Falyar C, Silva S, Muckler VC. A protocol implementation to determine aspiration risk in patients with multiple risk factors for gastroparesis. Journal of perioperative practice. 2022 Jul;32(7–8):172–177.

Published In

Journal of perioperative practice

DOI

EISSN

2515-7949

ISSN

1750-4589

Publication Date

July 2022

Volume

32

Issue

7-8

Start / End Page

172 / 177

Related Subject Headings

  • Risk Factors
  • Pyloric Antrum
  • Prospective Studies
  • Humans
  • Gastroparesis
  • Gastrointestinal Contents
  • 4205 Nursing
  • 1110 Nursing