超声波估计的胃含量和报告的最后一顿饭之间关于在程序性镇静中禁食状态的协议:一项跨部分分析研究
Dayananda Rekha Varshini1, Manu Ayyan1, Devendra Anandhi2
1Department of Emergency Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
The Journal of emergency medicine
|February 25, 2026
概括
胃超声显示与患者报告的过程镇静和止痛前的禁食时间中度一致. 这种护理点超声波 (POCUS) 可以帮助识别胃含量高于预期的患者,提高安全性.
科学领域:
- 紧急医疗 紧急医疗
- 在护理地点进行超声波 (POCUS)
- 患者安全 患者安全
背景情况:
- 程序性镇静和镇痛 (PSA) 在紧急医疗中至关重要.
- 建议在手术前禁食,以最大限度地降低吸入风险.
- 在紧急情况下遵守禁食是具有挑战性的;胃超声波提供了客观的评估.
研究的目的:
- 评估胃超声检查结果与患者报告的禁食状态之间的一致性.
- 评估胃超声波在成年人接受PSA在急诊室 (ED) 的实用性.
主要方法:
- 在学术ED中需要PSA的成年人 (18-65岁) 被录取.
- 胃点护理超声波 (POCUS) 评估了胃的含量和体积.
- 协议用百分比协议和科恩的卡帕来衡量.
主要成果:
- 包括182名患者;56.5%的人报告在3小时内禁食.
- 胃POCUS被分类为胃中的内容:0级 (42.3%),1级 (9.8%),2级 (47.8%).
- 总体同意率为73.1% (kappa=0.58),表明适度同意; 26.9%显示POCUS发现与报告的禁食不同.
结论:
- 胃POCUS显示了与报告的禁食状态的中度一致.
- 一个显著的小组患者在POCUS上胃含量高于报告.
- 胃POCUS可能会增加在ED中接受PSA的患者的风险分层.
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