Role of Point-of-Care Gastric Ultrasound in Advancing Perioperative Fasting Guidelines

Pulmonary aspiration in the perioperative period carries the risk of significant morbidity and mortality. As such, guidelines have been developed with the hopes of minimizing this risk by recommending fasting from solids and liquids over a specified amount of time. Point-of-care ultrasound has alter...

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Main Authors: Alina Razak, Silva Baburyan, Esther Lee, Ana Costa, Sergio D. Bergese
Format: Article
Language:English
Published: MDPI AG 2024-10-01
Series:Diagnostics
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Online Access:https://www.mdpi.com/2075-4418/14/21/2366
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author Alina Razak
Silva Baburyan
Esther Lee
Ana Costa
Sergio D. Bergese
author_facet Alina Razak
Silva Baburyan
Esther Lee
Ana Costa
Sergio D. Bergese
author_sort Alina Razak
collection DOAJ
description Pulmonary aspiration in the perioperative period carries the risk of significant morbidity and mortality. As such, guidelines have been developed with the hopes of minimizing this risk by recommending fasting from solids and liquids over a specified amount of time. Point-of-care ultrasound has altered the landscape of perioperative medicine; specifically, gastric ultrasound plays a pivotal role in perioperative assessment. Further, the advent of glucagon-like-peptide-1 receptor agonists, the widespread use of cannabis, and Enhanced Recovery program carbohydrate beverage presents new challenges when attempting to standardize fasting guidelines. This review synthesizes the literature surrounding perioperative fasting guidelines specifically with regard to the use of point-of-care ultrasound in assessing for gastric contents and minimizing the risk of aspiration.
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spelling doaj-art-f29ad89cc71d4779ae0a6c74cb859e5a2024-11-08T14:34:41ZengMDPI AGDiagnostics2075-44182024-10-011421236610.3390/diagnostics14212366Role of Point-of-Care Gastric Ultrasound in Advancing Perioperative Fasting GuidelinesAlina Razak0Silva Baburyan1Esther Lee2Ana Costa3Sergio D. Bergese4Department of Anesthesiology, Stony Brook University Health Science Center, Stony Brook, NY 11794, USARenaissance School of Medicine, Stony Brook University, Stony Brook, NY 11794, USARenaissance School of Medicine, Stony Brook University, Stony Brook, NY 11794, USADepartment of Anesthesiology, Stony Brook University Health Science Center, Stony Brook, NY 11794, USADepartment of Anesthesiology, Stony Brook University Health Science Center, Stony Brook, NY 11794, USAPulmonary aspiration in the perioperative period carries the risk of significant morbidity and mortality. As such, guidelines have been developed with the hopes of minimizing this risk by recommending fasting from solids and liquids over a specified amount of time. Point-of-care ultrasound has altered the landscape of perioperative medicine; specifically, gastric ultrasound plays a pivotal role in perioperative assessment. Further, the advent of glucagon-like-peptide-1 receptor agonists, the widespread use of cannabis, and Enhanced Recovery program carbohydrate beverage presents new challenges when attempting to standardize fasting guidelines. This review synthesizes the literature surrounding perioperative fasting guidelines specifically with regard to the use of point-of-care ultrasound in assessing for gastric contents and minimizing the risk of aspiration.https://www.mdpi.com/2075-4418/14/21/2366POCUSgastric ultrasoundpoint-of-care ultrasoundGLP1fastingperioperative
spellingShingle Alina Razak
Silva Baburyan
Esther Lee
Ana Costa
Sergio D. Bergese
Role of Point-of-Care Gastric Ultrasound in Advancing Perioperative Fasting Guidelines
Diagnostics
POCUS
gastric ultrasound
point-of-care ultrasound
GLP1
fasting
perioperative
title Role of Point-of-Care Gastric Ultrasound in Advancing Perioperative Fasting Guidelines
title_full Role of Point-of-Care Gastric Ultrasound in Advancing Perioperative Fasting Guidelines
title_fullStr Role of Point-of-Care Gastric Ultrasound in Advancing Perioperative Fasting Guidelines
title_full_unstemmed Role of Point-of-Care Gastric Ultrasound in Advancing Perioperative Fasting Guidelines
title_short Role of Point-of-Care Gastric Ultrasound in Advancing Perioperative Fasting Guidelines
title_sort role of point of care gastric ultrasound in advancing perioperative fasting guidelines
topic POCUS
gastric ultrasound
point-of-care ultrasound
GLP1
fasting
perioperative
url https://www.mdpi.com/2075-4418/14/21/2366
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