Airway management

Gastric Volume and Antral Area in the Fasting State: A Meta-analysis of Individual Patient Data

AnesthesiologyPublished Individual patient data meta-analysis

Authors' conclusion

An area of 10 cm2 measured in the right lateral decubitus could be a simple, data-driven upper limit of antral area that could serve as a surrogate of upper limit of normal gastric volume values in fasting adults.

Study context

Population
Fasting adult subjects undergoing gastric ultrasound
Participants
1,203 subjects · 12 primary studies
Outcome
Upper limit (95th percentile) of baseline antral area and gastric volume distributions
Methodological detailsacademic research network, Studies between January 2009 and December 2020
  • Academic research network
  • Studies between January 2009 and December 2020

Pooled result

As reported in the abstract

95th percentile of antral area (right lateral decubitus), cm²

9.9

95% CI 9.4 to 10.4

95th percentile of gastric volume, ml/kg

2.3

95% CI 2.3 to 2.4

Further pooled results

Antrum grade 0 or 1

Probability of antral area below the 95th percentile
98%

Original publication

Gastric Volume and Antral Area in the Fasting State: A Meta-analysis of Individual Patient Data. Anesthesiology. Published 5 April 2024. doi:10.1097/aln.0000000000004914

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