Pediatric anesthesia & critical care

The relationship between gastric ultrasound findings and endoscopically aspirated volume in infants and determining the antral cutoff value for empty stomach diagnosis

Paediatr AnaesthPublished Diagnostic accuracy study

Authors' conclusion

Gastric ultrasonography can confirm an empty or nearly empty stomach in healthy infants.

Study context

Population
Fasted infants (aged under 24 months) before upper gastrointestinal endoscopy, pediatric gastrointestinal endoscopy unit
Participants
46 infants
Comparison
Gastric ultrasound vs endoscopically suctioned gastric volume
Outcome
Best antral cross-section area cutoff value for a truly empty antrum
Methodological detailsprospective, single-centre
  • Prospective
  • Single-centre

Performance

As reported in the abstract

Antral CSA cutoff for empty antrum (right lateral decubitus)
Test or modelValueSensitivitySpecificityNPV
Antral CSA, right lateral decubitus2.40 cm²100%68.6%100%

Antral CSA, right lateral decubitus

Value2.40 cm²
Sensitivity100%
Specificity68.6%
NPV100%

Further findings

Qualitative three-point grading: grade 0

Patients classified as grade 0
76.1%

Original publication

The relationship between gastric ultrasound findings and endoscopically aspirated volume in infants and determining the antral cutoff value for empty stomach diagnosis. Paediatr Anaesth. Published 10 October 2023. doi:10.1111/pan.14776

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