[A child with a full stomach has to be anaesthesized]

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Updated: Sep 29, 2026

Gastric Point of Care Ultrasound in Adults: Image Acquisition and Interpretation
05:50

Gastric Point of Care Ultrasound in Adults: Image Acquisition and Interpretation

Published on: September 22, 2023

F J Kretz1, C Krier

  • 1Klinik für Anästhesiologie und operative Intensivmedizin, Olgahospital und Frauenklinik Berg, Klinikum Stuttgart, Germany.

Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
|September 7, 2002
PubMed

Insights

Children with a full stomach face aspiration risks during anesthesia, but rapid sequence induction allows immediate emergency treatment. Bronchoscopic draining is key if aspiration occurs, with artificial ventilation only if needed.

Area of Science:

  • Anesthesiology
  • Pediatric Emergency Medicine

Background:

  • Managing anesthesia in children with a full stomach presents unique challenges.
  • Aspiration risk in pediatric patients with full stomachs is a significant concern.

Observation:

  • Children may not inherently have a higher aspiration risk than adults.
  • Residual gastric secretions can persist for 6-10 hours post-trauma due to stress or opioids.

Findings:

  • Immediate narcosis is feasible for emergency treatment with rapid sequence induction (RSI) as a standard aspiration prophylaxis.
  • Bronchoscopic draining is the primary intervention for aspiration events.
  • Artificial ventilation is not always necessary if the airway is clear and respiratory exchange is normal.

Implications:

  • RSI enables prompt anesthetic management in pediatric emergencies, regardless of gastric status.
  • Effective airway management and timely intervention minimize complications from aspiration.
  • This approach ensures safer and more efficient emergency care for children.

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