Obstetric anesthesia

Impact of erythromycin and metoclopramide on gastric emptying of solids in term pregnant women scheduled for elective cesarean delivery: A randomized controlled trial

Anaesth Crit Care Pain MedPublished Randomised controlled trial

Authors' conclusion

Premedication with oral erythromycin or metoclopramide before elective cesarean delivery accelerated gastric emptying and may reduce aspiration risk after a standard meal.

Study context

Population
Non-laboring term pregnant women scheduled for elective cesarean delivery
Participants
150 women
Comparison
Oral erythromycin 400 mg or metoclopramide 10 mg vs placebo after a standard meal
Primary endpoint
Mean gastric volume (ultrasonography)
Follow-up
After six hours of fasting
Methodological detailsdouble-blinded, placebo-controlled
  • Double-blinded
  • Placebo-controlled

Primary result

As reported in the abstract

Gastric volume · 6 h

P < 0.001

Secondary outcomes

Low-risk gastric contents · 6 h after standard meal

P = 0.017

Gastric emptying fraction · 5th and 6th h

Significantly higher in E and M vs C

Half-time gastric emptying and gastric emptying time

Shortest in E and M

Original publication

Impact of erythromycin and metoclopramide on gastric emptying of solids in term pregnant women scheduled for elective cesarean delivery: A randomized controlled trial. Anaesth Crit Care Pain Med. Published 14 May 2025. doi:10.1016/j.accpm.2025.101544

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