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Residual gastric volume and risk for pulmonary aspiration in children with gastroesophageal reflux. Comparative study

Marcos Guilherme Cunha Cruvinel1, Paulo Fernando Souto Bittencourt, José Roberto de Rezende Costa

  • 1Departamento de Anestesiologia dos Hospitais Mater Dei, Belo Horizonte, MG.marcoscruvinel@uai.com.br

Revista Brasileira De Anestesiologia
|May 28, 2009
PubMed

Insights

Children with gastroesophageal reflux do not face a higher risk of pulmonary aspiration during anesthesia. Their residual gastric volume is comparable to children without reflux, suggesting routine prophylaxis may not be necessary.

Area of Science:

  • Pediatric Anesthesiology
  • Gastroenterology

Background:

  • Gastroesophageal reflux (GER) in children often necessitates anesthesia for procedures.
  • GER is associated with delayed gastric emptying, raising concerns about pulmonary aspiration risk.

Purpose of the Study:

  • To compare residual gastric volume in children with and without GER.
  • To determine if GER increases pulmonary aspiration risk during anesthesia.

Main Methods:

  • 38 pediatric patients (ASA I-II) undergoing upper digestive endoscopy were studied.
  • Patients were divided into two groups: with GER (group R) and without GER (group N).
  • Gastric content was collected and measured during endoscopy.

Main Results:

  • No significant differences in age, weight, or fasting time between groups.
  • All patients had residual gastric volume < 0.4 ml/kg.
  • Residual gastric volume did not differ significantly between children with and without GER.

Conclusions:

  • Children with GER are not at increased risk for pulmonary aspiration under anesthesia.
  • Routine pulmonary aspiration prophylaxis may not be necessary for children with GER undergoing anesthesia.
Abstract

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