Juliá-Romero C, Palau-Martí C, Tejedor-Bosqued A
Anestesiología y Reanimación, Hospital Universitario San Jorge de Huesca, Huesca, Spain.
Anestesiología y Reanimación, Hospital Universitario San Jorge de Huesca, Huesca, Spain.
Rev Esp Anestesiol Reanim (Engl Ed). 2025 Mar;72(3):501655. doi: 10.1016/j.redare.2024.501655. Epub 2024 Dec 17.
Pulmonary aspiration during anaesthesia induction is a serious adverse event that can lead to catastrophic consequences for the patient, including death. Preoperative fasting has so been assessed on the basis of the clinical history and fasting schedules recommended by clinical guidelines. This assessment is not objective, since the presence or absence of gastric contents cannot be guaranteed. Gastric point of care ultrasound (POCUS) is an objective, simple, and rapid method for assessing fasting prior to anaesthesia induction that stratifies risk and aids in decision-making. The aim of this review is to summarize the existing literature on gastric POCUS in the assessment of preoperative fasting. For this purpose, the Pubmed and Embase were searched for relevant studies published between 2014 and 2024.
麻醉诱导期间的肺误吸是一种严重的不良事件，可能给患者带来灾难性后果，包括死亡。术前禁食一直是根据临床病史和临床指南推荐的禁食时间表进行评估的。这种评估并不客观，因为无法保证胃内容物的有无。胃床旁超声检查（POCUS）是一种客观、简单且快速的方法，用于在麻醉诱导前评估禁食情况，可对风险进行分层并有助于决策。本综述的目的是总结现有关于胃POCUS在术前禁食评估方面的文献。为此，检索了Pubmed和Embase数据库中2014年至2024年期间发表的相关研究。
