Gastric ultrasound to guide anesthesia decisions in emergency surgery

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This multicenter study will combine a randomized controlled trial with a qualitative component to see whether adding point-of-care gastric ultrasound to standard preoperative assessment changes anesthetic planning for adults undergoing emergency non-cardiac surgery. The trial will compare plans generated with standard assessment alone versus standard assessment plus GUS. A qualitative analysis will capture anesthesiologists’ opinions on the usefulness and practicality of incorporating GUS in emergency settings. Eligible participants are adults (18+) with ASA I–III undergoing non-elective non-cardiac surgery, excluding those with upper GI abnormalities or pregnancy. The study is led by Samuel Lunenfeld Research Institute at Mount Sinai Hospital in Toronto.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Age \>18 years
* American Society of Anesthesiologists' (ASA) physical status I-III
* Patients scheduled for non-elective non-cardiac surgery.

Exclusion Criteria:

* Abnormal anatomy of the upper gastro-intestinal tract (including hiatus hernia, gastric tumors, and previous surgeries of the upper gastrointestinal tract).
* Extrinsic gastric compression obtained from the medical history or during the actual ultrasound examination.
* Pregnancy.
* Attending anesthesiologist refusal to include the patient for participation in the study

Where it's running

• Department of Anesthesia Mount Sinai Hospital
  Toronto, Ontario, Canada Recruiting

Study contacts

• Study coordinator: Cristian Arzola, MD, MSc
• Email: cristian.arzola@sinaihealth.ca
• Phone: 416-586-4800

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.