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Gastric Point of Care Ultrasound in Adults: Image Acquisition and Interpretation
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An Empty Stomach or False Reassurance? Aspiration Pneumonitis Despite Prolonged Preoperative Fasting in a Low-Risk
Tommaso Foggi Viligiardi1, Giulia Borsotti2, Gabriele Baldini3
1School of Anaesthesia and Intensive Care University of Florence Florence Italy.
Abstract:
A healthy 38 year-old male developed severe bronchospasm and aspiration pneumonitis during anesthesia induction despite 15-h preoperative fasting. Imaging revealed bilateral pulmonary consolidations and gastric distension. This case visually highlights that prolonged fasting paradoxically fails to guarantee gastric emptiness, emphasizing the need for individualized risk assessment.
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