Boretsky Karen R, Perlas Anahi
From the Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Boston, Massachusetts.
Department of Anesthesia & Pain Management, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada.
A A Pract. 2019 Dec 15;13(12):443-445. doi: 10.1213/XAA.0000000000001100.
Pulmonary aspiration of gastric contents carries significant risk in children in the perioperative period. Ultrasound imaging of the gastric antrum has been validated to predict gastric content and volume in both pediatric and adult patients, and yet clinical applications in pediatric patients are sparse. We report 2 cases of children presenting for elective surgery with uncertain volume of gastric contents. Bedside gastric imaging successfully identified "full stomachs," and the information was used to direct care.
围手术期儿童发生胃内容物肺误吸的风险很大。胃窦部的超声成像已被证实可用于预测儿童和成人患者的胃内容物及其容量,但在儿科患者中的临床应用却很少。我们报告了2例择期手术患儿,其胃内容物容量不确定。床边胃部成像成功识别出“饱腹”情况,这些信息被用于指导治疗。