Pediatric anesthesia & critical care

Diagnostic accuracy of qualitative gastric ultrasound assessment for detecting high gastric fluid volume in children: a prospective randomised study

AnaesthesiaPublished Diagnostic accuracy study

Study context

Population
Healthy children fasted per current pre-operative guidelines, empty stomach confirmed by US, then given water 0–2 ml.kg-1median age 7 y
Participants
90 children
Comparison
Qualitative assessment vs Clinical algorithm
Outcome
Sensitivity and specificity for gastric fluid volume > 1.25 ml.kg-1 ('at-risk stomach')
Follow-up
3 min after fluid ingestion
Methodological detailsprospective, observer-blinded, randomised
  • Prospective
  • Observer-blinded
  • Randomised

Performance

As reported in the abstract

Detection of gastric fluid volume > 1.25 ml.kg-1
Test or modelSensitivitySpecificity
Qualitative assessment
75% (95%CI 58-88%)Sensitivity on a scale from 0 to 100 percent
85% (95%CI 73-93%)Specificity on a scale from 0 to 100 percent
Clinical algorithm
86% (95%CI 71-95%)Sensitivity on a scale from 0 to 100 percent
78% (95%CI 64-88%)Specificity on a scale from 0 to 100 percent

Sensitivity

Qualitative assessment75% (95%CI 58-88%)
Clinical algorithm86% (95%CI 71-95%)
Sensitivity on a scale from 0 to 100 percent

Specificity

Qualitative assessment85% (95%CI 73-93%)
Clinical algorithm78% (95%CI 64-88%)
Specificity on a scale from 0 to 100 percent

Original publication

Diagnostic accuracy of qualitative gastric ultrasound assessment for detecting high gastric fluid volume in children: a prospective randomised study. Anaesthesia. Published 7 January 2025. doi:10.1111/anae.16539

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.