Effect of pregnancy on gastric emptying of fluid: measurement using ultrasound
10.3760/cma.j.issn.0254-1416.2018.12.021
- VernacularTitle:妊娠因素对液体胃排空的影响:超声法测定
- Author:
Qian BIAN
1
;
Jingjing ZHANG
;
Jiaojiao YANG
;
Jin LI
;
Xiaoying ZHANG
;
Xiaoyu ZHOU
;
Xiaoxiao ZHANG
;
Ya LIU
Author Information
1. 河北医科大学第二医院麻醉科
- Keywords:
Pregnancy;
Solutions;
Gastric emptying;
Ultrasonography
- From:
Chinese Journal of Anesthesiology
2018;38(12):1487-1489
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of pregnancy on gastric emptying of fluid using ultrasound.Methods Thirty parturients who were at full term,aged 20-40 yr,of American Society of Anesthesiologists physical status Ⅰ or Ⅱ,were divided into 2 groups (n=15 each) according to the liquid ingested:clear water group (N group) and carbohydrate beverage group (S group).Parturients underwent food fasting ≥8 h and water fasting≥2 h.Parturients ingested clear water 200 ml in N group and carbohydrate beverage 200 ml in S group.The antral cross-sectional area (CSA) was measured in the semi-sitting position using bedside ultrasonography in the fasting state (T0),immediately after ingesting liquids (T1),and at 30,60 and 120 min after the end of ingesting liquids (T2-4).Gastric emptying was defined as the antral CSA measured less than or equal to the antral CSA at T0.Results The rate of gastric emptying was all 100% at T4 between two groups.Compared with group N,the rate of gastric emptying was significantly decreased at T3 in group S (P<0.05).Conclusion Gastric emptying of fluid is achieved within 2 h after ingesting clean water or carbohydrate beverage in parturients who are at full term,and gastric emptying is delayed after ingesting carbohydrate beverage compared with that after ingesting clean water.