Ultrasound Assessment of Gastric Contents in Fasted Elderly Patients With Hip Fracture

Overview

Evaluation of gastric contents in fasted elderly patients with hip fracture. The gastric contents will be examined by using ultrasonography in fasted elderly patients scheduled for hip fracture surgery. The primary outcome is the number of patients with stomach contents, and the secondary outcome is the component of residual gastric contents.

Full Title of Study: “Ultrasound Assessment of Gastric Contents in Fasted Elderly Patients With Hip”

Study Type

  • Study Type: Observational
  • Study Design
    • Time Perspective: Prospective
  • Study Primary Completion Date: September 2019

Detailed Description

In the patients who has femur fracture, they are immobilized because of the pain. This condition makes the gastric movement slow, and the pain also contributes to delayed digestion. In the present study, the gastric content is assessed by using ultrasonography in fasted elderly patients for hip fracture surgery. Ultrasound assessment is performed in the supine position. All patients scheduled elective surgery for hip fracture over 65 years old are objects. The primary outcome is the number of patients with not empty stomach and full stomach, and the secondary outcome is the component of residual gastric contents.

Interventions

  • Other: Ultrasound assessment of gastric contents
    • Ultrasound assessment of gastric contents is performed in fasted elderly patients for hip fracture surgery.

Arms, Groups and Cohorts

  • Hip fracture patients
    • Fasted elderly patients scheduled for hip fracture surgery except exclusion criteria are enrolled.

Clinical Trial Outcome Measures

Primary Measures

  • Ultrasound assessment of the presence of gastric contents.
    • Time Frame: Before the induction of anesthesia (Baseline)
    • The presence of of gastric contents is assessed by using ultrasonography; yes/no

Secondary Measures

  • Ultrasound assessment of the component of residual gastric contents
    • Time Frame: Before the induction of anesthesia (Baseline)
    • The component of residual gastric contents is assessed by using ultrasonography; empty, clear fluid, solid content

Participating in This Clinical Trial

Inclusion Criteria

  • Who has hip fracture and agrees with the purpose of the study Exclusion Criteria:

  • gastrointestinal pathology – history of any type of gastrectomy – gastrointestinal anomaly

Gender Eligibility: All

Minimum Age: 65 Years

Maximum Age: N/A

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • SMG-SNU Boramae Medical Center
  • Provider of Information About this Clinical Study
    • Principal Investigator: Jin-Young Hwang, Associate professor, Department of Anesthesiology and Pain medicine – SMG-SNU Boramae Medical Center
  • Overall Official(s)
    • Jin-Young Hwang, MD,phD, Study Chair, Seoul National University Boramae Hospital
  • Overall Contact(s)
    • Jin-Young Hwang, MD, phD, 82-10-9553-0916, mistyblue15@naver.com

References

Warner MA, Warner ME, Weber JG. Clinical significance of pulmonary aspiration during the perioperative period. Anesthesiology. 1993 Jan;78(1):56-62. doi: 10.1097/00000542-199301000-00010.

Lienhart A, Auroy Y, Pequignot F, Benhamou D, Warszawski J, Bovet M, Jougla E. Survey of anesthesia-related mortality in France. Anesthesiology. 2006 Dec;105(6):1087-97. doi: 10.1097/00000542-200612000-00008.

Landreau B, Odin I, Nathan N. [Pulmonary aspiration: epidemiology and risk factors]. Ann Fr Anesth Reanim. 2009 Mar;28(3):206-10. doi: 10.1016/j.annfar.2009.01.020. Epub 2009 Mar 21. French.

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