Ultrasound GEL
Gastric POCUS & Sedation
Jan 30, 2023
Delia and Lianne discuss the use of gastric ultrasound in pediatric sedation, highlighting the challenges of fasting and assessing gastric content. They explore the benefits and limitations of using Point-of-Care Ultrasound to categorize patients based on gastric content volume. The study reveals the weak predictive value of fasting duration in determining sedation risk categories and emphasizes the importance of gastric ultrasound in high-risk patients.
18:58
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Quick takeaways
- Gastric POCUS can identify high-risk gastric content in pediatric sedation patients, challenging the reliability of fasting guidelines.
- Evidence-based sedation practices should consider gastric content assessment to mitigate aspiration risk post-procedure.
Deep dives
Study on Gastric Ultrasound for Pediatric Sedation Patients
A recent study focused on using point-of-care ultrasound to assess gastric contents in pediatric emergency department procedural sedation patients. The study demonstrated that 80% of patients had high-risk gastric content based on the Peralos model, regardless of meeting ASA fasting guidelines. Serial ultrasound examinations showed no significant change in gastric volumes, and the incidence of aspiration post-sedation aligned with previous studies. This highlights the importance of assessing gastric content for sedation safety.
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