DETERMINING THE RATE OF GASTRIC FLUID VOLUME USING ULTRASOUND IN PATIENTS WITH TYPE 2 DIABETES UNDERGOING ELECTIVE SURGERIES AT UNIVERSITY MEDICAL CENTER IN HO CHI MINH CITY

Lan Phương Võ , Tôn Ngọc Vũ Phan , Quốc Hùng Hà

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Abstract

Objectives: Determining gastric fluid volume and rate of aspiration risk in patients having type 2 diabetic melitus scheduled for elective surgery and general anesthesia. Patients and methods: A descriptive cross-sectional study on adult diabetic patients, fully fasted, scheduled for elective surgery under general anesthesia. The gastric fluid volume was was estimated through measurement and according to the formula of cross sections of the gastric antrum using ultrasound. Results: There were 50 patients included in this study. In particular, the median gastric fluid volume was 17.1ml (0.0ml - 40.2ml) or 0.3 ml/kg (0.0ml/kg - 0.7ml/kg). There were 3 patients (6.0%) with a gastric fluid volume greater than 1.5 ml/kg. The rate of patients with aspiration was 0.0%. Conclusions: In our study, the median gastric fluid volume was 0.3ml/kg (0.0ml/kg - 0.7ml/kg) and 6.0% (03 patients) had a full stomach according to the definition of stomach volume greater than 1.5ml/kg. A risk of aspiration existed in these patients. In the study, there were no cases of aspiration.

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References

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