| Fasting times and gastric contents volume in children undergoing deep propofol sedation - an assessment using magnetic resonance imaging. | |
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MedLine Citation:
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PMID: 21414079 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Aim: To investigate the effect of fasting times for clear fluids and solids/non-clear fluids on gastric content volume using magnetic resonance imaging (MRI). Methods: Pediatric patients undergoing diagnostic MRI under deep propofol sedation, with the stomach located within the area of diagnostic study, were included in this clinical observational study. According to standard institutional guidelines, children were allowed to eat/drink until 4 h and to drink clear fluids until 2 h before scheduled induction time of anesthesia. Gastric content volume per kg body weight (GCV(w) ) was determined using MRI and compared with actual fasting times prior to induction. Results: Overall 68 patients aged from 0.3 to 19.6 (2.8) years were investigated. Fasting time for clear fluids ranged from 1.1 to 15.5 (5.5) h, for non-clear fluids/solids from 4.0 to 20.2 (6.7) h. GCV(w) ranged from 0.2 to 6.3 (0.75) ml·kg(-1) and showed no significant negative correlation to fasting times for clear fluids (r = -0.07, P = 0.60) and non-clear fluids/solids (r = -0.08, P = 0.51). Conclusions: Based on this preliminary data, GCV(w) showed considerable variation but did not correlate with fasting times in children and adolescent patients. Recommended fasting times were often exceeded. |
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Authors:
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Achim Schmitz; Christian J Kellenberger; Diego Neuhaus; Elke Schroeter; Dubravka Deanovic; Friederike Prüfer; Martina Studhalter; Lieselore Völlmer; Markus Weiss |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-3-18 |
Journal Detail:
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Title: Paediatric anaesthesia Volume: - ISSN: 1460-9592 ISO Abbreviation: - Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-3-18 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9206575 Medline TA: Paediatr Anaesth Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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© 2011 Blackwell Publishing Ltd. |
Affiliation:
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Department of Anaesthesia, University Children's Hospital, Zurich, Switzerland Department of Diagnostic Imaging, University Children's Hospital, Zurich, Switzerland. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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