Perioperative medicine & outcomes
Practical significance and assessment of gastric ultrasound in preoperative carbohydrate loading: A retrospective analysis of 746 patients within the enhanced recovery after surgery pathway
Authors' conclusion
Patients receiving PCL within the ERAS protocol may be safe in clinical practice without an elevated risk of having an increased gastric content.
Study context
- Population
- Patients receiving preoperative carbohydrate loading (PCL) and undergoing hepatobiliary surgery within Enhanced Recovery After Surgery (ERAS) protocol, November 2018 to December 2023of 1187 patients
- Participants
- 746 patients
- Outcome
- Incidence of increased gastric content (gastric ultrasound)
Main finding
As reported in the abstract
Incidence of increased gastric content
Increased gastric content, observed in 36 patients
4.8%
95% CI 3.5–6.6%
Observational data: associations, not effects.
Secondary outcomes
Predictors of increased gastric content (multivariate logistic regression)
| OR (95% CI) | P value | ||
|---|---|---|---|
| BMIOnly independent predictor | 0.66 (0.57–0.77) | P < 0.001 | |
| 0.512Odds ratio (log scale) |
PCL compliance
- Compliance rate for PCL within ERAS protocol
- 88%
Fasting duration < 2 h
- Fasting duration < 2 h
- 7.2%
Safety
- Rapid sequence intubation (RSI) performed in all patients with increased gastric content
- No aspiration reported
Original publication
Practical significance and assessment of gastric ultrasound in preoperative carbohydrate loading: A retrospective analysis of 746 patients within the enhanced recovery after surgery pathway. Anaesth Crit Care Pain Med. Published 16 May 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →