Airway management

Multiplanar Ultrasonographic Assessment of Gastric Volume: A Prospective Observational Study

AnesthesiologyPublished Prospective observational study

Authors' conclusion

Notable differences exist between gastric ultrasonography measurement planes. When applying existing predictive models, measurements obtained from the higher-measured gastric volume plane provide greater accuracy.

Study context

Population
Fasted volunteers scanned before and after ingesting apple juice 2.3 ml/kgvolunteers analysed
Participants
196 volunteers
Exposure
Gastric ultrasonography at abdominal aorta plane vs inferior vena cava (IVC) plane
Outcome
Agreement between predicted ingested volume and actual ingested volume by measurement plane

Main finding

As reported in the abstract

Predicted vs actual gastric volume
GroupBiasP
Higher-measured gastric volume plane−4.27 mlP = 0.076

Higher-measured gastric volume plane

Bias−4.27 ml
PP = 0.076

Observational data: associations, not effects.

Further findings

OutcomeP value
Abdominal aorta vs IVC plane measurements, low and high gastric volume statesDiffered significantly in both statesP < 0.001

Original publication

Multiplanar Ultrasonographic Assessment of Gastric Volume: A Prospective Observational Study. Anesthesiology. Published 23 February 2026. doi:10.1097/aln.0000000000006005

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