Regional anesthesia

ASRA Pain Medicine narrative review and expert practice recommendations for gastric point-of-care ultrasound to assess aspiration risk in medically complex patients undergoing regional anesthesia and pain procedures

Reg Anesth Pain MedPublished Narrative review and expert practice recommendations

Methodological detailsPRISMA-adherent, iterative expert consensus, MMAT quality appraisal
  • PRISMA-adherent
  • Iterative expert consensus
  • MMAT quality appraisal

Recommendations

As issued by the authors

  1. Support

    Gastric point-of-care ultrasound (POCUS) in patients in active labor, those undergoing urgent cesarean sections, and those with diabetes

  2. Conditional support

    Gastric POCUS for obesity, emergency care, enteral feeding, and GLP-1RA use

  3. Not recommended

    Routine gastric POCUS in non-laboring pregnancies, elective cesarean delivery, or gastroesophageal reflux disease (GERD)

Original publication

ASRA Pain Medicine narrative review and expert practice recommendations for gastric point-of-care ultrasound to assess aspiration risk in medically complex patients undergoing regional anesthesia and pain procedures. Reg Anesth Pain Med. Published 18 April 2025. doi:10.1136/rapm-2024-106346

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