文章摘要
床旁胃窦超声评估特殊人群胃排空及预防反流误吸的研究进展
Research progress of bedside gastric antrum ultrasound in evaluating gastric emptying and preventing reflux aspiration in special populations
  
DOI:10.12089/jca.2023.06.015
中文关键词: 超声  胃窦  胃内容物  反流误吸
英文关键词: Ultrasound  Gastric antrum  Gastric contents  Reflux and aspiration
基金项目:国家自然科学基金(82001132);山东省医学会临床科研专项资金(YXH2021ZX011)
作者单位E-mail
杨天意 116044,大连医科大学研究生院  
王杭 青岛市市立医院麻醉科  
袁阳 青岛市市立医院麻醉科  
董瑞 青岛市市立医院麻醉科  
王明山 青岛市市立医院麻醉科  
张高峰 青岛市市立医院麻醉科 exgalaxy@163.com 
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中文摘要:
      孕产妇、患儿、肥胖、高龄、终末期肾功能衰竭、糖尿病胃轻瘫、危重患者以及急诊手术患者等特殊人群按目前的禁饮食指南不能保证麻醉诱导时胃排空。床旁胃窦超声便携、快速、准确、无创,可用于上述特殊人群胃内容物性质和容量的评估,指导麻醉科医师制定个体化的麻醉诱导方案,预防反流误吸。本文对床旁胃窦超声评估胃内容物的实施、方法、预防反流误吸的策略及评估特殊人群胃内容物的临床应用进展进行综述。
英文摘要:
      Certain populations, such as pregnant women, children, obesity, aged patients, end-stage renal failure, diabetic gastroparesis, critically patients and emergency surgical patients, can not be guaranteed their gastric emptying during induction of anesthesia according to the routine guidelines of preoperative fasting. Bedside gastricantrum ultrasound, which is portable, rapid, accurate and non-invasive, can be used to evaluate the characteristics and volume of gastric contents in the above-mentioned special populations, and further guide anesthesiologists to develop individualized anesthesia induction plans to prevent reflux and aspiration. This article reviews the implementation and methods of gastric antrum ultrasound in evaluating gastric contents, the strategies to prevent reflux and aspiration, and the progress of clinical application in evaluating gastric contents in this special populations.
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